Switch to
| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
3
|
| pubmed:dateCreated |
1998-6-23
|
| pubmed:abstractText |
The purpose of this report is to analyze the long-term outcome in hydrocephalic children treated by shunt placement and in particular their psycho-intellectual development. In the case of shunt placement postoperative mortality is virtually nil, and the overall mortality rate after 10 years of follow-up has been reduced to less than 5%. Morbidity, in contrast, is far from satisfactory. This study was conducted in 129 consecutive children with nontumorous hydrocephalus who underwent a first shunt insertion before the age of 2 years between 1979 and 1982 and who were followed up for at least 10 years. The final neurological examination revealed a motor deficit in 60%, visual or auditory deficits in 25%, and epilepsy in 30%. The final IQs were above 90 in 32% of the children, between 70 and 90 in 28%, between 50 and 70 in 19%, and lower than 50 in 21%. Integration into the normal school system was possible for 60% of the children, but half of them were 1-2 years behind their age group or having difficulties; 31% were attending special classes or were in institutions; and 9% were considered ineducable. The presence of behavioral disorders was a determinant factor for scholastic and social integration. Such disorders were frequent, and were characterized as severe in 30%. A relationship between final outcome and etiology, initial ventricular size, and epilepsy was observed. These results are used as the basis of a discussion on how morbidity might be improved.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Mar
|
| pubmed:issn |
0256-7040
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
14
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
97-9
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:9579862-Cerebrospinal Fluid Shunts,
pubmed-meshheading:9579862-Child, Preschool,
pubmed-meshheading:9579862-Child Behavior,
pubmed-meshheading:9579862-Child Development,
pubmed-meshheading:9579862-Female,
pubmed-meshheading:9579862-Humans,
pubmed-meshheading:9579862-Hydrocephalus,
pubmed-meshheading:9579862-Infant,
pubmed-meshheading:9579862-Intelligence,
pubmed-meshheading:9579862-Male,
pubmed-meshheading:9579862-Mortality,
pubmed-meshheading:9579862-Postoperative Period,
pubmed-meshheading:9579862-Prognosis,
pubmed-meshheading:9579862-Treatment Outcome
|
| pubmed:year |
1998
|
| pubmed:articleTitle |
Late outcome of the surgical treatment of hydrocephalus.
|
| pubmed:affiliation |
Service de Neurochirurgie Pédiatrique, Hôpital Necker-Enfants Malades, Paris, France.
|
| pubmed:publicationType |
Journal Article
|