20 May 2004
The follow-up study of infants with congenital hydrocephalus
Iwona Janczewska, Krzysztof Preis, Jerzy Szczapa, Jerzy Wojculewicz, Małgorzata Świątkowska-FreundMed Sci Monit 2004; 10(2): 97-101 :: ID: 11838
Abstract
Background: Congenital hydrocephalus is the cause of heavy mental and physical handicap in children. Technical advances in sonography have facilitated the diagnosis of hydrocephalus in utero. The aim of the study was to follow the further development of children born with hydrocephalus. Material/Methods: We performed a follow-up study of 30 infants born with congenital hydrocephalus between 1991 and 2001, in the Department of Obstetrics of the Medical University of Gdafsk. The analyzed group consisted of children who lived until the end of the observation period (till 28.02.2003). We analyzed the fetal age at diagnosis, the time of delivery and mode of delivery. Newborn’s clinical charts were reviewed for the newborn’s state after birth, birth weight, head circumference and the presence of clinical symptoms of hydrocephalus. We analyzed the cause of death, shunt placement after birth and status of living infants.Results: In the period of 1991–2001 the 22.534 births took place. Hydrocephalus was diagnosed in 30 newborns born alive or dead. Its’ incidence was 1.2 per 1000 of all births. Eighteen (60%) newborns were delivered vaginally and 12 of them (40%) by cesarean section. Nineteen (63.3%) newborns were born at term and 11 (36.7%) – before term. In 26 cases (86.6%) hydrocephalus was diagnosedin utero. Six children (20%) were still born. By the end of the observation period, 18 (60%) children died and 6 (20%) children survived. Factors influencing the rise of risk of death in these children were prematurity, the presence of other central nervous system malformations or that of other organs. In the group of 6 children that survived until the end of the study, 2 of them had not and the other four had present neurological abnormalities ranging from severe (paralysis and incontinence) to minimal defects.Conclusions: Congenital hydrocephalus is still associated with high newborn’s and older children’s death rate. The presence of other malformations of central nervous system, as well as of the other organs, has a negative impact on the survival rate of children with hydrocephalus.
Keywords: congenital malformation, fetal hydrocephalus, newborn
Editorial
01 February 2025 : Editorial
Editorial: Current Approaches to Screening for Lung Cancer in Smokers and Non-SmokersDOI: 10.12659/MSM.948255
Med Sci Monit 2025; 31:e948255
In Press
Clinical Research
Procedure Dynamics in Transfemoral vs Transradial Cerebral Angiography: A Retrospective StudyMed Sci Monit In Press; DOI: 10.12659/MSM.947603
Clinical Research
Predicting Cerebral Small Vessel Disease Burden Based on Thromboelastography in Patients with Acute Ischemi...Med Sci Monit In Press; DOI: 10.12659/MSM.946303
Clinical Research
Long-Term Outcomes of Implanon in Managing Adenomyosis: A 3-Year Prospective StudyMed Sci Monit In Press; DOI: 10.12659/MSM.945972
Laboratory Research
Linear Dimensional Accuracy in Maxillomandibular Records: A Comparative Study of Scannable and Transparent ...Med Sci Monit In Press; DOI: 10.12659/MSM.947265
Most Viewed Current Articles
17 Jan 2024 : Review article 6,969,459
Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron VariantDOI :10.12659/MSM.942799
Med Sci Monit 2024; 30:e942799
16 May 2023 : Clinical Research 701,879
Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...DOI :10.12659/MSM.940387
Med Sci Monit 2023; 29:e940387
01 Mar 2024 : Editorial 25,628
Editorial: First Regulatory Approvals for CRISPR-Cas9 Therapeutic Gene Editing for Sickle Cell Disease and ...DOI :10.12659/MSM.944204
Med Sci Monit 2024; 30:e944204
28 Jan 2024 : Review article 20,173
A Review of IgA Vasculitis (Henoch-Schönlein Purpura) Past, Present, and FutureDOI :10.12659/MSM.943912
Med Sci Monit 2024; 30:e943912