Hydrocephalus

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
  • Adhesions from inflammation, such as with meningitis or subarachnoid hemorrhage
  • Cerebral atrophy
  • Compression of the subarachnoid space by a mass such as a tumor
  • Congenital abnormalities of the subarachnoid space
  • Head injury
  • High venous pressure within the sagittal sinus
Noncommunicating hydrocephalus
Jul 20, 2016 | Posted by in NURSING | Comments Off on Hydrocephalus

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