Fontanelle as an Indicator of Hydrocephalus in Early Childhood

Abstract

Introduction: The parameters of fontanelle can be very reliable and helpful source to assess the internal status of hydrocephalus in early childhood. Methods and Materials: We have studied the parameters of 69 patients of hydrocephalus in early childhood to assess the status of hydrocephalus. All the patients - who were admitted in the Bangabandhu Sheikh Mujib Medical University from January 2002 to December 2003. Results: All patients were evaluated clinically as well as with imaging study. The age range was from newborn to 12 months. There was male preponderance; male to female ratio was 2.6:1. Clinical evaluation of head and face showed 97.10% patients had open anterior fontanelle, 88.41% had apparent large head, 59.04% had presence of sunset sign. Analysis of anterior fontanelle showed 66.67% had bulged fontanelle, 30.43% had flat fontanelle and 2.90% had concave fontanelle. Evaluation of the clinical status of posterior fontanelle revealed that 23.19% had open posterior fontanelle. Among them 15.94% had bulged and 7.25% had flat fontanelle. Conclusion: By analyzing the result we found that clinical evaluation of fontanelle gives good guidance to assess the status of hydrocephalus in early childhood. Bangladesh Journal of Neuroscience 2011; Vol. 27 (2) : 83-86 DOI: http://dx.doi.org/10.3329/bjn.v27i2.17574

Korelasi Hidrosefalus Berdasarkan Pemeriksaan Ct Scan Dengan Klinis Di Rsud Tiara Kasih Sejati Pematangsiantar

“…Sementara itu, studi di Afrika dilaporkan bahwa usia 2-3 bulan merupakan usia puncak terjadinya hidrosefalus. Abdullah dan Naing melaporkan distribusi usia pasien hidrosefalus anak di Malaysia, yaitu 30% neonate, 35% berusia 1 bulan sampai 1 tahun, 28% berusia 1-5 tahun dan 6.7% diatas usia 6 tahun (Abdullah & Naing, 2001;Islam et al, 2014). Secara distributif didapatkan laki-laki lebih banyak menderita hidrosefalus, baik tipe komunikans maupun non komunikans, dibandingkan perempuan dengan rasio 2,1:1.…”

“…Abdullah dan Naing, juga melaporkan rasio pasien hidrosefalus di Malaysia sebesar 3:1 untuk laki-laki. Dominasi laki-laki ini juga memiliki keterkaitan dengan faktor genetik, yaitu gen resesif terkait-X yang menyebabkan obstruksi akuaduktus sehingga terjadi hidrosefalus (Islam et al, 2014).…”