A retrospective study on a case of pediatric patients with hydrocephalus due to meningitis was treated at Tay Duc Paediatric Hospital – Haiphong City. Results shows that: hydrocephalus is non-malignant except brain tumour. Symptoms in children under one year of age: head circumference is enlarged rapidly, fontanel’s and skull bones bulging, thin-haired, venae under head skin emerged clearly, eyes are turned downwards. Symptoms in older children and adults including headache, quick reduction of vision. To have better treatment results, it should be detected and operated early. For hydrocephalus caused by brain tumour, placement surgery of a abdominal-ventricular catheter should be done before operation to help reducing pressure for laparoscopic surgery, minimizing mortality rate and having recupation for better surgical condition later. If the tumour had bad prognosis not be operated, placement of a abdominal-ventricular.
Hydrocephalus ; Hydrocephalus/rehabilitation ; Brain

OBJECTIVE: The aim of this study was to investigate the medical status, the complication and the functional status in adult patients with cerebral palsy in rehabilitation facility. METHOD: The subjects comprised 113 patients with cerebral palsy in Holt Ilsan Home. We performed the previous medical history review, the physical examination, and investigated the functional independency with modified Barthel index. Result was compared between over the 20-years-old age group and the younger age group. RESULTS: Patients in older age group had more contractures of one or more joints in 67.4%, subluxations in 19.0% and dislocations in 8.1%. The modified Barthel index scores of older age group was significantly higher than juvenile group, and significantly lower within mixed type and quadriplegic type group. Patients in older age group with microcephaly were significantly lower than those with hydrocephalus or seizure, and those without microcephaly, hydrocephalus, or seizure were significantly higher. CONCLUSION: These results showed that older-aged cerebral palsy in rehabilitation had more musculoskeletal complications and higher functional status than the younger group. The musculoskeletal complication and associated disease like microcephaly significantly affected the activities of daily living. Therefore, a detailed long-term follow-up study with more medical attention is needed.
Activities of Daily Living ; Adult* ; Cerebral Palsy* ; Contracture ; Dislocations ; Humans ; Hydrocephalus ; Joints ; Microcephaly ; Physical Examination ; Rehabilitation* ; Seizures

There are about sixty to seventy diseases which develop dementia until now. These include degenerative disease, vascular disease, infectious disease, hydrocephalus, toxic condition, head trauma, tumor , metabolic disease, and demyelinating disease etc. 20% of dementing illness is reversible to treatment. Treatment strategies of dementia can be classified as disease-specific treatment, pharmacotherapy with neurocognitive activators or psychopharmacologic agents, and nonpharmacologic intervention such as neurocognitive rehabilitation, reminiscence therapy, occupational or physical therapy, and psychosocial approach. But medical approach is necessary to prevent disability stemming from pneumonia, dehydration, malnutrition, decubitus ulcer, and other complication. These treatment strategies must be administered comprehensibly due to characteristics of the dementia patients.
Alzheimer Disease* ; Communicable Diseases ; Craniocerebral Trauma ; Dehydration ; Dementia ; Demyelinating Diseases ; Drug Therapy ; Humans ; Hydrocephalus ; Malnutrition ; Metabolic Diseases ; Occupational Therapy ; Pneumonia ; Pressure Ulcer ; Rehabilitation ; Vascular Diseases

Despite advancements in treating ruptured cerebral aneurysms, an aneurysmal subarachnoid hemorrhage (aSAH) is still a grave cerebrovascular disease associated with a high rate of morbidity and mortality. Based on the literature published to date, worldwide academic and governmental committees have developed clinical practice guidelines (CPGs) to propose standards for disease management in order to achieve the best treatment outcomes for aSAHs. In 2013, the Korean Society of Cerebrovascular Surgeons issued a Korean version of the CPGs for aSAHs. The group researched all articles and major foreign CPGs published in English until December 2015 using several search engines. Based on these articles, levels of evidence and grades of recommendations were determined by our society as well as by other related Quality Control Committees from neurointervention, neurology and rehabilitation medicine. The Korean version of the CPGs for aSAHs includes risk factors, diagnosis, initial management, medical and surgical management to prevent rebleeding, management of delayed cerebral ischemia and vasospasm, treatment of hydrocephalus, treatment of medical complications and early rehabilitation. The CPGs are not the absolute standard but are the present reference as the evidence is still incomplete, each environment of clinical practice is different, and there is a high probability of variation in the current recommendations. The CPGs will be useful in the fields of clinical practice and research.
Aneurysm ; Brain Ischemia ; Cerebrovascular Disorders ; Diagnosis ; Disease Management ; Hydrocephalus ; Intracranial Aneurysm ; Mortality ; Neurology ; Quality Control ; Rehabilitation ; Risk Factors ; Search Engine ; Subarachnoid Hemorrhage ; Surgeons

Phelan-McDermid syndrome is a rare genetic disorder caused by the terminal or interstitial deletion of the chromosome 22q13.3. Patients with this syndrome usually have global developmental delay, hypotonia, and speech delays. Several putative genes such as the SHANK3, RAB, RABL2B, and IB2 are responsible for the neurological features. This study describes the clinical features and outcomes of Korean patients with Phelan-McDermid syndrome. Two patients showing global developmental delay, hypotonia, and speech delay were diagnosed with Phelan-McDermid syndrome via chromosome analysis, fluorescent in situ hybridization, and multiplex ligation-dependent probe amplification analysis. Brain magnetic resonance imaging of Patients 1 and 2 showed delayed myelination and severe communicating hydrocephalus, respectively. Electroencephalography in patient 2 showed high amplitude spike discharges from the left frontotemporoparietal area, but neither patient developed seizures. Kidney ultrasonography of both the patients revealed multicystic kidney disease and pelviectasis, respectively. Patient 2 experienced recurrent respiratory infections, and chest computed tomography findings demonstrated laryngotracheomalacia and bronchial narrowing. He subsequently died because of heart failure after a ventriculoperitoneal shunt operation at 5 months of age. Patient 1, who is currently 20 months old, has been undergoing rehabilitation therapy. However, global developmental delay was noted, as determines using the Korean Infant and Child Development test, the Denver developmental test, and the Bayley developmental test. This report describes the clinical features, outcomes, and molecular genetic characteristics of two Korean patients with Phelan-McDermid syndrome.
Brain ; Child ; Child Development ; Electroencephalography ; Heart Failure ; Humans ; Hydrocephalus ; In Situ Hybridization, Fluorescence ; Infant ; Kidney ; Language Development Disorders ; Magnetic Resonance Imaging ; Molecular Biology ; Multicystic Dysplastic Kidney ; Multiplex Polymerase Chain Reaction ; Muscle Hypotonia ; Myelin Sheath ; Rehabilitation ; Respiratory Tract Infections ; Seizures ; Thorax ; Ultrasonography ; Ventriculoperitoneal Shunt