By James M. Drake, D. Gordon Potts, Claude Lemaire (auth.), Satoshi Matsumoto M.D., Kiyoshi Sato M.D., Norihiko Tamaki M.D., Shizuo Oi M.D. (eds.)
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Additional info for Annual Review of Hydrocephalus: Volume 8 1990
A right ventriculoperitoneal shunt was inserted . Following surgery, headache and cerebellar signs subsided . Oi and Matsumoto introduced the term, progressive unilateral hydrocephalus to describe unilateral ventricular dilatation with CSF circulatory disturbances. They classified this entity into 4 groups depending upon the pathology of obstruction of the foramen of Momo-l) Atresia, 2) Morphological obstruction, 3) Functional obstruction, and 4) Patent foramen with hemispheric parenchymal changes .
The surviving, adult siblings present a peculiar combination of abnormal clinical findings: macrocephaly, high and broad forehead, coarse facial features with heavy eyebrows, a tendency to synophrys, broad nose , fulllips, high-arched palate , ocular abnormalities with Figure. The facial features in patients 1 (a) and 2 (b). 44 A nnual Review 01 Hydrocephalus severe myopia , nystagmus and optic atrophy, short and broad terminal phalanges with short nails , and a Dandy-Walker cyst on CT-scan. As far as we know , the unusual combination of dysmorphic facial stigmata , severe myopia , brachytelephalangy with short, broad nails and Dandy-Walker malformation of the CNS with secondary hydrocephaly has not previously been reported.
Twelve patients presenting with communicat ing hydrocephalus were studied. In 9 cases where the mean ICP level remain ed below 10 mmHg the symptoms of normal pressure hydrocephalus were observed . The clinical and physiological state , cranial computerized tomogr aphy and param eters of the cerebrospinal compensatory mechanisms were compared before and after (at least 3 months) shunting . Model of cerebrospinal compens ation was identified by means of the lumbo-Iumbar constant Table . Th e comp arison of CT and compensatory parameters registe red in two gro ups before and after shu nting Gro up No .
Annual Review of Hydrocephalus: Volume 8 1990 by James M. Drake, D. Gordon Potts, Claude Lemaire (auth.), Satoshi Matsumoto M.D., Kiyoshi Sato M.D., Norihiko Tamaki M.D., Shizuo Oi M.D. (eds.)