Skip to main content
*** NOTE: Terms of Service Updated 21 Feb 2018 ***

Treating Pediatric Hydrocephalus Guidelines

  • Published: 2014-11-01 (Revised/Updated 2017-06-25) : Journal of Neurosurgery Publishing Group (Jo Ann Eliason - jaeliason@thejns.org).
  • Synopsis: Supplement offers thorough evaluation of current treatments for pediatric hydrocephalus and up-to-date evidence-based recommendations for their use.
Hydrocephalus

The term hydrocephalus is derived from the Greek words "hydro" meaning water and "cephalus" meaning head. As the name implies, it is a condition in which the primary characteristic is excessive accumulation of fluid in the brain. Although hydrocephalus was once known as "water on the brain," the "water" is actually cerebrospinal fluid (CSF) - a clear fluid that surrounds the brain and spinal cord. The excessive accumulation of CSF results in an abnormal widening of spaces in the brain called ventricles. This widening creates potentially harmful pressure on the tissues of the brain. Although hydrocephalus can occur at any age, it's more common among infants and older adults.

Main Document

Quote: "current treatment methods are insufficient, and there is currently little agreement on the 'best' treatment, even among leading practitioners."

The Journal of Neurosurgery Publishing Group is pleased to announce today's publication of "Pediatric hydrocephalus: systematic literature review and evidence-based guidelines, " a supplement to the November issue of the Journal of Neurosurgery: Pediatrics . Authored by a volunteer task force from the pediatric neurosurgery community, the supplement offers a thorough evaluation of the current treatments for pediatric hydrocephalus as well as up-to-date evidence-based recommendations for their use.

Hydrocephalus is a condition in which there is an excessive amount of cerebrospinal fluid (CSF) in chambers of the brain known as ventricles. Hydrocephalus is caused by an imbalance between the production and absorption of CSF. The causes of hydrocephalus are numerous, and the disorder can be congenital or acquired. Hydrocephalus is called "communicating" when CSF can still move from one ventricle to another and "non-communicating" when passage from one ventricle to another is blocked.

The incidence of pediatric hydrocephalus is approximately 1 case in 500 live births.

The authors of this supplement, the Pediatric Hydrocephalus Systematic Review and Evidence-Based Guidelines Task Force, state, "pediatric hydrocephalus is the most common surgically correctable neurological problem in infants, children, and adolescents."

If left uncorrected, the accumulation of CSF can exert pressure on critical brain structures, causing the patient to experience cognitive, visual, motor deficits, seizures, or even death. Even with treatment, the patient may face challenges due to treatment complications, the need for repeated treatment, or unsatisfactory outcomes.

According to the authors, "current treatment methods are insufficient, and there is currently little agreement on the 'best' treatment, even among leading practitioners." To improve this situation, the authors decided to conduct a thorough evaluation of the various treatments of pediatric hydrocephalus currently in use and to disseminate their findings and recommendations to other practitioners.

Under the auspices of the Pediatric Section of the American Association of Neurological Surgeons (AANS) and Congress of Neurological Surgeons (CNS), the Task Force conducted systematic reviews of the literature describing the current effectiveness of hydrocephalus treatments in infants, children, and adolescents. Included were patients with congenital or acquired hydrocephalus as well as communicating or non-communicating hydrocephalus. The Task Force examined relevant peer-reviewed articles published between January 1966 and March 2012 that describe current hydrocephalus treatments, treatment-related complications, and strategies to avoid or manage those complications.

The Task Force carefully evaluated the contents of each article and classified the quality of the evidence provided therein. Summaries of the contents of these articles are displayed in evidential tables throughout the supplement. The Task Force structured their treatment-related recommendations based on this evidence by the following methods endorsed by the AANS/CNS Guidelines Committee. The authors describe the basis of their recommendations in Part 1:

"Demonstrating the highest degree of clinical certainty, Class I evidence is used to support recommendations of the strongest type, defined as Level I recommendations. Level II recommendations reflect a moderate degree of clinical certainty and are supported by Class II evidence or a strong consensus of Class III evidence. Level III recommendations denote clinical uncertainty, which is supported by inconclusive or conflicting evidence or expert opinion."

The systematic reviews and guidelines document begins with a foreword followed by an introductory article on methodology and eight articles focusing on hydrocephalus-related topics:

Parts 6 and 7 provide meta-analyses in addition to systematic reviews. Treatment recommendations are offered in each topic article, and the strength of each recommendation (Levels 1 through III) is clearly defined.

In summarizing the importance of these studies, the corresponding author, Dr. Ann Marie Flannery states,

"I urge readers to look at the recommendations and the evidence together. The recommendations and the strength relate directly to the evidence we found. The Task Force was very conscientious about transparency and being sure that what we published was evidence-based."

Awareness: Hydrocephalus Awareness Information

Hydrocephalus awareness ribbonThe Hydrocephalus awareness ribbon color is light blue and dark blue, with a water drop - the symbol of CSF.

Hydro Angels Over America supports this ribbon as the official Hydrocephalus Awareness Ribbon.

The month of September is National Hydrocephalus Awareness Month. September was designated National Hydrocephalus Awareness Month in July, 2009 by the U.S. Congress in HR373.

Facts: Interesting Hydrocephalus

Statistics: Hydrocephalus

Similar Topics

1 : New Peer-reviewed Journal 'Autism in Adulthood' Launching in 2019 : Mary Ann Liebert, Inc./Genetic Engineering News.
2 : Free Accessibility Guide to UK National Parks : NRS Healthcare.
3 : Meet ClaraBelle Blue: Children's Book Highlights Similarities Rather Than Differences : RocketChair Productions/Adiba Nelson.
4 : If You Could Cure Your Special Needs Child, Would You? : Joseph and Jill Tantillo.
5 : Don't Eat This If You're Taking That - Medication and Food Interaction Guide : AARP.
From our Books Guides and Publications section - Full List (158 Items)

Submit disability news, coming events, as well as assistive technology product news and reviews.


Loan Information for low income singles, families, seniors and disabled. Includes home, vehicle and personal loans.


Famous People with Disabilities - Well known people with disabilities and conditions who contributed to society.


List of awareness ribbon colors and their meaning. Also see our calendar of awareness dates.


Blood Pressure Chart - What should your blood pressure be, and information on blood group types/compatibility.





1 : Free Eye Exams to Service and Working Animals in May from Veterinary Ophthalmologists
2 : Early Childhood Education Needs to be Accessible and Affordable
3 : How the Human Brain Can Tell Our Arms and Legs Apart
4 : Protein Levels in Spinal Fluid Correlate to Posture and Gait Difficulty in Parkinson's Disease

Citation


Disclaimer: This site does not employ and is not overseen by medical professionals. Content on Disabled World is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. See our Terms of Service for more information.

Reporting Errors: Disabled World is an independent website, your assistance in reporting outdated or inaccurate information is appreciated. If you find an error please let us know.