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Disabilities in chi...
Disabilities in children with hydrocephalus--a population-based study of children aged between four and twelve years
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- Persson, Eva-Karin, 1956 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences
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- Hagberg, Gudrun, 1924 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences
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- Uvebrant, Paul, 1951 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences
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(creator_code:org_t)
- 2007-03-14
- 2006
- English.
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In: Neuropediatrics. - : Georg Thieme Verlag KG. - 0174-304X .- 1439-1899. ; 37:6, s. 330-6
- Related links:
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https://gup.ub.gu.se...
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Abstract
Subject headings
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- BACKGROUND: Children with hydrocephalus represent a heterogeneous group with various aetiologies and disability profiles. Over the years, continuous changes in medical care have occurred and updated information is important. AIM: To study disability profiles in aetiological and gestational age subgroups of children with hydrocephalus in the 1990s. METHOD: A population-based series of 114 children, 70 with infantile hydrocephalus and 44 with hydrocephalus associated with MMC. All the children were examined clinically and interviewed. RESULTS: Learning disabilities were present in 47 % of children with infantile hydrocephalus compared with 16 % of those with MMC, cerebral palsy in 27 % vs. zero and epilepsy in 34 vs. 11 %. Even after excluding children with cerebral palsy, the majority had abnormal tendon reflexes and scored below the 5th centile on a motor test. Hydrocephalus overt at birth, low gestational age, a perinatal origin, enlarged ventricles at follow-up and several shunt revisions all indicated risk factors for a poor outcome. CONCLUSIONS: In spite of major advances in management, hydrocephalus in children still has a considerable impact on outcome. Being born very preterm and with a hydrocephalus that is already overt at birth involve the highest risk of a poor outcome. Apart from major impairments, the children frequently have definite motor problems.
Keyword
- Cerebral Palsy/diagnosis/epidemiology
- Cerebrospinal Fluid Shunts
- Child
- Child
- Preschool
- Comorbidity
- Cross-Sectional Studies
- Developmental Disabilities/diagnosis/*epidemiology
- Epilepsy/diagnosis/epidemiology
- Female
- Follow-Up Studies
- Humans
- Hydrocephalus/diagnosis/*epidemiology/surgery
- Infant
- Infant
- Newborn
- Infant
- Premature
- Diseases/diagnosis/epidemiology
- Infant
- Very Low Birth Weight
- Learning Disorders/diagnosis/epidemiology
- Male
- Meningomyelocele/diagnosis/epidemiology
- Neurologic Examination
- Neuropsychological Tests
- Population Surveillance
- Postoperative Complications/diagnosis/epidemiology
- Psychomotor Disorders/diagnosis/epidemiology
- Reflex
- Abnormal/physiology
- Risk Factors
- Sweden
Publication and Content Type
- ref (subject category)
- art (subject category)
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