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PubMed · 11129876

Congenital hydrocephalus.

D K Mitra·M Srinivas
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Abstract

Congenital hydrocephalus results from diverse causes which could be developmental, genetic, infective and haemorrhagic in nature; aqueductal stenosis being the most common of all. Altered fluid dynamics results in loss of brain substance and enlargement of CSF spaces with the resultant sequelae. The present article reviews the multifaceted problems of congenital hydrocephalus from the standpoint of its pathophysiology, clinical ramifications & treatment.

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Cerebrospinal FluidCerebrospinal Fluid ShuntsHumansHydrocephalusInfant, NewbornIntracranial PressureTreatment OutcomeJournal ArticleReview

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D K Mitra, M Srinivas. Congenital hydrocephalus.. https://pubmed.ncbi.nlm.nih.gov/11129876/

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Cerebrospinal fluid dissecting into spinal epidural space after lumbar puncture causing cauda equina syndrome: review of literature and illustrative case.

OBJECTS: We report a case of epidural cerebrospinal fluid (CSF) leak after lumbar puncture caused by CSF dissecting into the spinal epidural space. The incidence of this phenomenon may be higher than suspected, although most cases may remain asymptomatic. MATERIALS AND METHODS: A 4-year-old girl with new-onset seizure underwent a diagnostic lumbar puncture, the results of which were normal; 3 h later, she began experiencing severe low-pressure headaches and lower back pain, bilateral lower extremity weakness, numbness, and pain, and urinary retention when upright. Spinal MRI demonstrated extensive epidural CSF collection posterior to the thecal sac extending from the cervicothoracic junction to the sacrum. After 48 h in the supine position and gradual mobilization, the patient had complete resolution of symptoms and no neurological sequelae. CONCLUSION: Patients usually recover without any neurological deficits after conservative treatment. Prone or lateral decubitus positioning immediately after lumbar puncture may decrease the incidence of this phenomenon.

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