Skip to main navigation menu Skip to main content Skip to site footer
This is an outdated version published on 2022-09-23. Read the most recent version.

Vol. 7 No. 1 (2022)
Salud y sociedad uptc volumen 7 número 1 2022

Artículos originales

Caracterización de pacientes con hidrocefalia atendidos en el Hospital Universitario San Rafael de Tunja. 2018

Published 2022-09-23

  • Jonathan Alexander Guezguan Pérez

Jonathan Alexander Guezguan Pérez
a:1:{s:5:"es_ES";s:34:"Hospital Universitario San Rafael ";}

Abstract

Introduction: Hydrocephalus is a pathological, frequent and complex entity, characterized by an increase in ventricular size, generated by an accumulation of cerebrospinal fluid in the subarachnoid and ventricular spaces. Life-threatening neurological injury, the product of multiple etiologies. Objective: to characterize patients with hydrocephalus treated at the San Rafael de Tunja University Hospital, during 2018. Methodology: observational, descriptive, cross-sectional study of a retrospective historical cohort, included: patients treated at the San Rafael de Tunja University Hospital, in 2018, with a diagnosis of hydrocephalus identified by the international disease codes (ICD-10). Results: the average number of days of hospital stay was 38.1, a higher frequency of communicating and acquired hydrocephalus was observed; within the clinical manifestations predominated headache and emesis, for the diagnosis in most cases computed tomography was used, all patients required surgical management. 15.55% of the patients presented at least one complication related to the management administered, finally, it was observed that 87.77% of the people presented some sequelae. A mortality of 11.39% was documented. Conclusions: Hydrocephalus is a clinical condition of varied etiology and that can occur at all stages of life, with a known pathophysiology and heterogeneous clinical presentations, of complex medical management

Keywords

Hidrocefalia; hipertensión intracraneal; Edema cerebral; Líquido cefalorraquídeo

References

  1. Pellegrini L, Bonfio C, Chadwick J, Begum F, Skehel M, Lancaster MA. Human CNS barrier-forming organoids with cerebrospinal fluid production. Science. 10 de julio de 2020;369(6500):eaaz5626.
  2. Chumas P, Tyagi A, Livingston J. Hydrocephalus---what’s new? Arch Dis Child - Fetal Neonatal Ed. 1 de noviembre de 2001;85(3):149F - 154.
  3. Rodríguez-Boto G, Rivero-Garvía M, Gutiérrez-González R, Márquez-Rivas J. Conceptos básicos sobre la fisiopatología cerebral y la monitorización de la presión intracraneal. Neurología. enero de 2015;30(1):16-22.
  4. Yasuda T, Tomita T, McLone DG, Donovan M. Measurement of cerebrospinal fluid output through external ventricular drainage in one hundred infants and children: correlation with cerebrospinal fluid production. Pediatr Neurosurg 2002; 36:22.
  5. Carey CM, Tullous MW, Walker ML. Hydrocephalus: Etiology, Pathologic Effects, Diagnosis, and Natural History. In: Pediatric Neurosurgery, 3 ed, Cheek WR (Ed), WB Saunders Company, Philadelphia 1994.
  6. Toma AK, Holl E, Kitchen ND, Watkins LD. Evans’ Index Revisited: The Need for an Alternative in Normal Pressure Hydrocephalus. Neurosurgery. 1 de abril de 2011;68(4):939-44.
  7. Kirkpatrick M, Engleman H, Minns RA. Symptoms and signs of progressive hydrocephalus. Arch Dis Child. 1 de enero de 1989;64(1):124-8.
  8. Menkes JH, Sarnat HB, Flores-Sarnat L. Malformations of the central nervous system. In: Child Neurology, 7th ed, Menkes JH, Sarnat HB, Maria BL (Eds), Lippincott Williams & Wilkins, Philadelphia 2006. p.284.
  9. Benejam B, Poca MA, Junqué C. Alteraciones cognitivas en pacientes con hidrocefalia crónica del adulto (“normotensiva”). Propuesta de un protocolo para su evaluación clínica. 2008;13.
  10. Tully HM, Capote RT, Saltzman BS. Maternal and Infant Factors Associated With Infancy-Onset Hydrocephalus in Washington State. Pediatr Neurol. marzo de 2015;52(3):320-5.
  11. Melot A, Labarre A, Vanhulle C, Rondeau S, Brasseur M, Gilard V, et al. Neurodevelopmental long-term outcome in children with hydrocephalus requiring neonatal surgical treatment. Neurochirurgie. abril de 2016;62(2):94-9.
  12. Flannery AM, Duhaime A-C, Tamber MS, Kemp J. Pediatric hydrocephalus: systematic literature review and evidence-based guidelines. Part 3: Endoscopic computer-assisted electromagnetic navigation and ultrasonography as technical adjuvants for shunt placement. J Neurosurg Pediatr. noviembre de 2014;14(Supplement_1):24-9.
  13. Limbrick DD, Baird LC, Klimo P, Riva-Cambrin J, Flannery AM. Pediatric hydrocephalus: systematic literature review and evidence-based guidelines. Part 4: Cerebrospinal fluid shunt or endoscopic third ventriculostomy for the treatment of hydrocephalus in children. J Neurosurg Pediatr. noviembre de 2014;14(Supplement_1):30-4.
  14. Mazzola CA, Choudhri AF, Auguste KI, Limbrick DD, Rogido M, Mitchell L, et al. Pediatric hydrocephalus: systematic literature review and evidence-based guidelines. Part 2: Management of posthemorrhagic hydrocephalus in premature infants. J Neurosurg Pediatr. noviembre de 2014;14(Supplement_1):8-23.
  15. Smith ER, Madsen JR. Cerebral pathophysiology and critical care neurology: basic hemodynamic principles, cerebral perfusion, and intracranial pressure. Semin Pediatr Neurol. junio de 2004;11(2):89-104.
  16. Smith ER, Madsen JR. Neurosurgical aspects of critical care neurology. Semin Pediatr Neurol. junio de 2004;11(2):169-78.
  17. Martín-Láez R, Caballero-Arzapalo H, López-Menéndez LÁ, Arango-Lasprilla JC, Vázquez-Barquero A. Epidemiology of Idiopathic Normal Pressure Hydrocephalus: A Systematic Review of the Literature. World Neurosurg. diciembre de 2015;84(6):2002-9.
  18. Pena A A, Sandia Z R, Riveros P R, Salazar Z C, Herrera O R, Vergara F R. Factores de riesgo de infección de derivativa ventrículo peritoneal en pacientes pediátricos del Hospital Carlos Van Buren. Rev Chil Infectol. febrero de 2012;29(1):38-43.
  19. Leinonen V, Vanninen R, Rauramaa T. Cerebrospinal fluid circulation and hydrocephalus. En: Handbook of Clinical Neurology [Internet]. Elsevier; 2018 [citado 9 de agosto de 2021]. p. 39-50. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/B9780128023952000055
  20. Padilla CD, Vásquez GAL, Ramírez JD, Saucedo GP. Hidrocefalia, derivación ventricular y ependimitis (Parte I). 2003;7.
  21. Newell DW, Aaslid R, Stooss R, Reulen HJ. The relationship of blood flow velocity fluctuations to intracranial pressure B waves. J Neurosurg. marzo de 1992;76(3):415-21.
  22. Beni-Adani L, Biani N, Ben-Sirah L, Constantini S. The occurrence of obstructive vs absorptive hydrocephalus in newborns and infants: relevance to treatment choices. Childs Nerv Syst. 20 de noviembre de 2006;22(12):1543-63.
  23. Kulkarni AV, Drake JM, Lamberti-Pasculli M. Cerebrospinal fluid shunt infection: a prospective study of risk factors. J Neurosurg. febrero de 2001;94(2):195-201.
  24. Cortines AR. Unidad Médica De Alta Especialidad No. 14, Veracruz. :28.
  25. Del Bigio MR, Di Curzio DL. Nonsurgical therapy for hydrocephalus: a comprehensive and critical review. Fluids Barriers CNS. diciembre de 2015;13(1):3.
  26. Smith ER, Butler WE, Barker FG. In-hospital mortality rates after ventriculoperitoneal shunt procedures in the United States, 1998 to 2000: relation to hospital and surgeon volume of care. J Neurosurg Pediatr. febrero de 2004;100(2):90-7.
  27. Karppinen A. [Complications of hydrocephalus shunting]. Duodecim Laaketieteellinen Aikakauskirja. 2012;128(16):1691-8.

Downloads

Download data is not yet available.

Most read articles by the same author(s)

Similar Articles

You may also start an advanced similarity search for this article.