Assessment of Clinical Signs of Intracranial Hypertension in Newborns and Infants with Hydrocephalus in Relationship to the Indication of Drainage Procedure

Czech version

Authors: B. Kolarovszki; J. De Riggo
Authors‘ workplace: Neurochirurgické oddelenie JLF UK a MFN, Martin primár MUDr. J. De Riggo, PhD.
Published in: Čes-slov Pediat 2008; 63 (10): 521-527.
Category: Original Papers

Overview

Assessment of clinical signs of intracranial hypertension in newborns and infants with hydrocephalus in relationship to the indication of drainage procedure.

Patients and methods:
The selected clinical signs were evaluated in the group of 24 newborns and 41 infants with hydrocephalus. The number of clinical examinations with the evaluation of intracranial dynamics was 165 (newborns 103, infants 62).

Results:
Clinical signs with the highes sensitivity in relationship to the indication of drainage procedure are: increased head circumference (72%), progressive growth of head circumference (61%), borderline tense anterior fontanelle (56%) and diastasis of cranial sutures (56%). Clinical signs with the highes specificity with adequate Younden’s index in relationship to the indication of drainage procedure are: unambiguous tense anterior fontanelle (99%), progressive growth of head circumference (98%), borderline tense anterior fontanelle (91%) and diastasis of lambdoid suture (88%).

Conclusion:
The results of our study showed the heterogenity of clinical signs of intracranial hypertension in newborns and infants with hydrocephalus in relationship to the indication of drainage procedure.

Key words:
newborn, hydrocephalus, intracranial hypertension, drainage procedure

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