caa a22 4500 463180267 CHVBK 20180406164837.0 cr unu---uuuuu 170326e20071001xx s 000 0 eng 10.1007/s00381-007-0324-7 doi (NATIONALLICENCE)springer-10.1007/s00381-007-0324-7 Hydrocephalus in children born in 1999-2002: epidemiology, outcome and ophthalmological findings [Elektronische Daten] [Eva-Karin Persson, Susann Anderson, Lars-Martin Wiklund, Paul Uvebrant] Objective: The purpose of this study was to monitor incidence and outcome in children with hydrocephalus. Materials and methods: This is a population-based prospective study of all the children with hydrocephalus born in western Sweden in 1999-2002. Etiological and clinical information was collected from records, neuroimaging and ophthalmological examinations. Comparisons with 208 children born in 1989-1998 were made. Results: The incidence was 0.66 per 1,000 live births, 0.48 for infantile hydrocephalus and 0.18 for hydrocephalus associated with myelomeningocele. The corresponding rates for 1989-1998 were 0.82, 0.49 and 0.33. Ventriculo-peritoneal shunt treatment was used in 42 of the 54 children and endoscopic third ventriculostomy in 12. Revisions were performed in 33 (61%). Neurological impairments were present in 63%, and they were more common in children born preterm than in those born at term. The radiological extent of parenchymal lesions correlated significantly with outcome. Ophthalmological abnormalities were found in 80%, including visual impairment in one third. Conclusion: The incidence of post-haemorrhagic hydrocephalus in children born extremely preterm increased; a group running a high risk of neurological sequelae. Ophthalmological abnormalities were frequent and need to be assessed in all children with hydrocephalus. The high rate of morbidity and complications necessitates the further development of preventive and treatment methods. Springer-Verlag, 2007 Epidemiology nationallicence Hydrocephalus nationallicence Myelomeningocele nationallicence Disability nationallicence Ophthalmology nationallicence Neuroradiology nationallicence Persson Eva-Karin Department of Paediatrics, Halmstad County Hospital, Halmstad, Sweden aut Anderson Susann Department of Ophthalmology, Sahlgrenska University Hospital, SE-416 85, Gothenburg, Sweden aut Wiklund Lars-Martin The Queen Silvia Children's Hospital, Sahlgrenska University Hospital, SE-416 85, Gothenburg, Sweden aut Uvebrant Paul The Queen Silvia Children's Hospital, Sahlgrenska University Hospital, SE-416 85, Gothenburg, Sweden aut Child's Nervous System Springer-Verlag 23/10(2007-10-01), 1111-1118 0256-7040 23:10<1111 2007 23 381 https://doi.org/10.1007/s00381-007-0324-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00381-007-0324-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Persson Eva-Karin Department of Paediatrics, Halmstad County Hospital, Halmstad, Sweden aut NATIONALLICENCE 700 1- Anderson Susann Department of Ophthalmology, Sahlgrenska University Hospital, SE-416 85, Gothenburg, Sweden aut NATIONALLICENCE 700 1- Wiklund Lars-Martin The Queen Silvia Children's Hospital, Sahlgrenska University Hospital, SE-416 85, Gothenburg, Sweden aut NATIONALLICENCE 700 1- Uvebrant Paul The Queen Silvia Children's Hospital, Sahlgrenska University Hospital, SE-416 85, Gothenburg, Sweden aut NATIONALLICENCE 773 0- Child's Nervous System Springer-Verlag 23/10(2007-10-01), 1111-1118 0256-7040 23:10<1111 2007 23 381 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer