Hydrocephalus
Life-threatening disorder
Description
Variety of conditions characterized by an excess of fluid within the cranial vault, subarachnoid space, or both
Occurs because of interference with cerebrospinal fluid (CSF) flow caused by increased fluid production, obstruction within the ventricular system, or defective reabsorption of CSF
Types:
Noncommunicating hydrocephalus — obstruction within the ventricular system
Communicating hydrocephalus — impaired absorption of CSF
Pathophysiology
Obstruction of CSF flow associated with hydrocephalus produces dilation of the ventricles proximal to the obstruction.
Obstructed CSF under pressure causes atrophy of the cerebral cortex and degeneration of the white matter tracts; selective preservation of gray matter also occurs.
When excess CSF fills a defect caused by atrophy, a degenerative disorder, or a surgical excision, the fluid isn’t under pressure and atrophy and degenerative changes aren’t induced.
Causes
Communicating hydrocephalus
Noncommunicating hydrocephalus
Aqueduct stenosis
Arnold-Chiari malformation
Congenital abnormalities in the ventricular system
Mass lesions such as a tumor compressing one of the structures of the ventricular systemStay updated, free articles. Join our Telegram channel
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