Patient's question:
Please ask the doctor, the previous physical examination was good, but recently, there is a gaze palsy, pediatric hydrocephalus, how is the treatment effect goodDoctor's answer:
Hydrocephalus in children is caused by an imbalance between the production and absorption of cerebrospinal fluid. The incidence rate in infants is approximately 3 per thousand, of which simple congenital hydrocephalus accounts for 0.9 per thousand to 1.5 per thousand, and those accompanied by apparent spinal bifida account for 1.3 per thousand to 2.9 per thousand. Clinical manifestations in infancy include progressive enlargement of the head within weeks or months after birth, disproportionate growth between the head and torso, and the head drooping forward due to its excessive size and weight. The skull is very thin, the scalp is shiny, and superficial veins are dilated. The head and face are asymmetrical, with a large head and small face, a prominent forehead, and a pointed chin. Increased intracranial pressure is manifested as vomiting. Since the child cannot speak, they often express head discomfort through actions such as scratching the head, shaking the head, and crying. In severe cases, drowsiness may occur. After diagnosis, early treatment should be initiated. Mild cases require conservative treatment, while moderate to severe cases without severe intellectual disability require active treatment.