Comparison of cranial imaging findings and diagnostic measurements of congenital and acquired hydrocephalus cases operated: clinical study
Chirurgia (Turin), cilt.37, sa.2, ss.81-85, 2024 (ESCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 37 Sayı: 2
- Basım Tarihi: 2024
- Doi Numarası: 10.23736/s0394-9508.23.05577-8
- Dergi Adı: Chirurgia (Turin)
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
- Sayfa Sayıları: ss.81-85
- Anahtar Kelimeler: Hydrocephalus, Ventriculoperitoneal shunt, Imaging
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
BACKGROUND: Hydrocephalus is a disorder in the circulation of the cerebrospinal fluid. Cerebrospinal fluid (CSF) is enlarged in the ventricles due to a pathology in the circulatory pathways. While congenital hydrocephalus presents in early childhood, acquired hydrocephalus can occur in any age group. Hydrocephalus is not a single clinical entity, it is a wide pathology contains the group. In this study we aimed to compare of cranial findings and diagnostic measurements of operated congenital and acquired hydrocephalus in our clinic. METHODS: The study was carried out by retrospective examination of patients who underwent hydrocephalic examination and surgery in our clinic between 2020 and 2023. Forty-seven patients were included in the study. Patients with acquired hydrocephalus and congenital hydrocephalus were excluded from the study. Ventricular Index (VI), Evans Index (EI), callosal thinning, pericallosal CSF passage, temporal horn measurement, enlargement of the 4th ventricle (triventricular or biventricular) were evaluated. The data collected for the research were analyzed using the SPSS 22 program. RESULTS: There were 47 patients included in the study and in total, 37 (78.7%) of 47 patients were cases of congenital hydrocephalus and 10 (21.3%) were acquired. Evans and VI values were significantly higher in congenital hydrocephalus cases (P<0.05). Periventricular hypodensity was significantly higher in cases of acquired hydrocephalus (P=0.024). DISCUSSION: The etiology of hydrocephalus can be examined by dividing into two groups. These are acquired and congenital hydrocephalus. Computerized Brain Tomography and Magnetic Resonance Imaging were used for diagnosis. Diagnostic measurements (EI, VI) are made using imaging methods. For treatment, although ventriculoperitoneal shunt is most common, in some cases ventriculoatrial or lumboperitoneal conditions are preferred. Callosal thinning, triventricular hydrocephalus, periventricular hypodensity are other important radiological imaging findings. CONCLUSIONS: Radiological findings are extremely useful in diagnosing and guide the treatment. Increased intracranial pressure secondary to hydrocephalus causes ischemic damage. Congenital and acquired hydrocephalus cases diagnosed with history, physical examination and radiological findings should be treated accurately and quickly.