Abstract
At our institution in a 5 year interval between 1978 and 1983, all 14 children with prenatally diagnosed congenital hydrocephalus, defined as excessively increasing ventricular size and biparietal diameter on at least two sequential examinations, were available for outcome evaluation. Others in whom this diagnosis was made either did not survive gestation or the initial neonatal period due to interruption of the pregnancy or intrapartum demise. GA at diagnosis varied from 26 to 38 wks with a mean of 31 wks. Age at delivery varied from 32 to 40 wks with a mean of 36 wks. Four of these children had myelomeningocoele, 6 had hydrocephalus without other anomalies, three had intracranial cysts, and one had an encephalocoele. All of them underwent ventriculo-peritoneal shunting. Five had shunt related infections. Six had Bayley mental or Stanford-Binet scores >80 (43%), 2 had scores between 65 and 80 (14%), and 6 had scores <65 (43%). The poorer outcome of this group in comparison to other series of such hydrocephalus may relate both to the early stage at which the diagnosis was made such that children with more severe conditions have survived and the high rate of infection.
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Duncan, C., Chervenak, F., Ment, L. et al. 1669 OUTCOME IN CHILDREN WITH PRENATALLY DIAGN0SED CONGENITAL HYDROCEPHALUS. Pediatr Res 19, 389 (1985). https://doi.org/10.1203/00006450-198504000-01693
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DOI: https://doi.org/10.1203/00006450-198504000-01693