Hydrocephalus

Description
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Variety of conditions characterized by an excess of fluid within the cranial vault, subarachnoid space, or both
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Occurs because of interference with cerebrospinal fluid (CSF) flow caused by increased fluid production, obstruction within the ventricular system, or defective reabsorption of CSF
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Types:
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Noncommunicating hydrocephalus — obstruction within the ventricular system
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Communicating hydrocephalus — impaired absorption of CSF
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Pathophysiology
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Obstruction of CSF flow associated with hydrocephalus produces dilation of the ventricles proximal to the obstruction.
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Obstructed CSF under pressure causes atrophy of the cerebral cortex and degeneration of the white matter tracts; selective preservation of gray matter also occurs.
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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
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Aqueduct stenosis
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Arnold-Chiari malformation
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Congenital abnormalities in the ventricular system
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Mass lesions such as a tumor compressing one of the structures of the ventricular system
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