Hydrocephalus

When Zheng Lan was abandoned, her head began to grow in size quickly, so they sought medical help. It was found that she had Hydrocephalus. We weren't sure what this was or if we could handle it, but we did some research and below is a little information about her condition. We had 2 different doctors (Dr. Christine Anderegg & Dr. Toran J. MacArthur) look at 2 of her CT Scan results. She has NOT needed a shunt, and her last CT scan showed that she no longer has the condition. In addition, her last doctors update states "healthy". However, we are aware that there may be future complications, and she will work closely with our doctors here at home to monitor her progress and make sure that she will not need any further treatment. Hers does not seem to be genetics.

Hydrocephalus (Water on the Brain)

Hydrocephalus is a buildup of fluid inside the skull, leading to brain swelling.

Causes, incidence, and risk factors

Hydrocephalus is due to a problem with the flow of cerebrospinal fluid (CSF), the liquid that surrounds the brain and spinal cord. The fluid brings nutrients to the brain, takes away waste from the brain, and acts as a cushion.

CSF normally moves through areas of the brain called ventricles, then around the outside of the brain and the spinal cord. It is then reabsorbed into the bloodstream. Buildup of CSF can occur in the brain if its flow or absorption is blocked or if too much CSF is produced.

This buildup of fluid puts pressure on the brain, pushing the brain up against the skull and damaging or destroying brain tissues.

Hydrocephalus may start while the baby is growing in the womb. It is commonly present with myelomeningocele, a birth defect involving incomplete closure of the spinal column. Genetic defects and certain infections that occur during pregnancy may also cause hydrocephalus.

In young children, hydrocephalus may also be associated with the following conditions:

*Infections that affect the central nervous system (such as meningitis or encephalitis), especially in infants
*Bleeding in the brain during or soon after delivery (especially in premature babies)
*Injury before, during, or after childbirth, including subarachnoid hemorrhage
*Tumors of the central nervous system, including the brain or spinal cord
*Injury or trauma

The symptoms depend on the cause of the blockage, the person's age, and how much brain tissue has been damaged by the swelling.

In infants with hydrocephalus, CSF fluid builds up in the central nervous system, causing the fontanelle (soft spot) to bulge and the head to be larger than expected. Early symptoms may also include:

*Eyes that appear to gaze downward
*Irritability
*Seizures
*Separated sutures
*Sleepiness
*Vomiting

Symptoms that may occur in older children can include:

*Brief, shrill, high-pitched cry
*Changes in personality, memory, or the ability to reason or think
*Changes in facial appearance and eye spacing
*Crossed eyes or uncontrolled eye movements
*Difficulty feeding
*Excessive sleepiness
*Headache
*Irritability, poor temper control
*Loss of bladder control (urinary incontinence)
*Loss of coordination and trouble walking
*Muscle spasticity (spasm)
*Slow growth (child 0 - 5 years)
*Slow or restricted movement
*Vomiting

Signs and tests

When a health care provider taps fingertips on the skull, there may be abnormal sounds that indicated thinning and separation of skull bones. Scalp veins may appear stretched or enlarged.

Part or the entire head may be larger than normal. Enlargement is most commonly seen in the front part of the head. Head circumference measurements, repeated over time, may show that the head is getting bigger.

The eyes may look "sunken in." The white part of the eye may appear above the colored part of the eye, given the eyes a "setting-sun" appearance. Reflexes may be abnormal.

A head CT scan is one of the best tests for identifying hydrocephalus. Other tests that may be done include:

*Arteriography
*Brain scan using radioisotopes
*Cranial ultrasound (an ultrasound of the brain)
*Lumbar puncture and examination of the cerebrospinal fluid (rarely done)
*Skull x-rays

Treatment

The goal of treatment is to reduce or prevent brain damage by improving the flow of CSF.

The blockage may be surgically removed, if possible. If the blockage cannot be removed, a shunt (flexible tube) may be placed within the brain to allow CSF to flow around the blocked area. The shunt tubing travels to another part of the body, such as the abdomen, where the extra CSF can be absorbed.

Antibiotics are given if there are signs of infection. Severe infections may require the shunt to be removed.

Another option is endoscopic third ventriculostomy (ETV), which relieves pressure without replacing the shunt.

Removing or burning away (cauterizing) the parts of the brain that produce CSF may reduce CSF production.

Follow-up examinations generally continue throughout the child's life. These are done to check the child's developmental level and to treat any intellectual, neurological, or physical problems.

Visiting nurses, social services, support groups, and local agencies can provide emotional support and assist with the care of a child with hydrocephalus who has significant brain damage.
Expectations (prognosis)

Untreated hydrocephalus has a 50 - 60% death rate, with the survivors having varying degrees of intellectual, physical, and neurological disabilities.

The outlook for treated hydrocephalus depends on the cause. Hydrocephalus that is caused by disorders not associated with infection has the best outlook. Persons with hydrocephalus caused by tumors usually do very poorly.

Most children with hydrocephalus that survive for 1 year will have a fairly normal life span. Approximately a third will have normal intellectual function, but neurological difficulties may persist.
Complications

The shunt may become blocked. Symptoms of such a blockage include headache and vomiting. Surgeons may be able to help the shunt open without having to replace it.

There may be other problems with the shunt, such as kinking, tube separation, or infection in the area of the shunt.

Other complications may include:

*Complications of surgery
*Infections such as meningitis or encephalitis
*Intellectual impairment
*Nerve damage (decrease in movement, sensation, function)
*Physical disabilities