Paediatric Neurosurgery by Lindy May, Linda May

By Lindy May, Linda May

This publication is geared up to facilitate studying within the speedily increasing and engaging quarter of pediatric neurosurgery. it really is offered in a realistic manner, using examples of situations and case reviews to reinforce the knowledge of the topic. The essence of relatives based care is reiterated during the booklet, together with continuity of care following discharge from sanatorium into the group.

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Journal of Neurosurgery 77: 29–36. Stanton M (1987) Patient education: Implications for nursing. Today’s OR Nurse 9(6): 16–20. Terry D, Nisbet K (1991) External ventricular drainage. Journal of Neuroscience Nursing (23 December) (6): 347–55. May crc 11/16/03 10:27 AM Page 44 Chapter 3 Spinal abnormalities in children Spina bifida Spina bifida was recognized 2,000 years ago by Prior Tay; most children born with spina bifida at that time died of infection or hydrocephalus. Today, with antibiotic use and the treatment of hydrocephalus, most children born with spina bifida have a long lifespan.

Raised intracranial pressure may result directly from a space-occupying lesion such as a tumour or a haematoma, from cerebral oedema, or due to the presence of hydrocephalus. Typical signs include headache (classically, early morning headache), vomiting and papilloedema (papilloedema will not occur in the baby as his head circumference will expand to compensate). Visual deterioration can be a sign of chronic raised intracranial pressure. Changes in vital signs are a late indicator of acute raised intracranial pressure in children, and irritability, drowsiness and pupil dilatation with a decreased reaction to light, are earlier indicators of neurological deterioration.

Cambridge MA: Blackwell. El Shafer IL, El Rough MA (1987) Ventriculojugular shunt against the direction of blood flow. Role of the internal jugular vein as an antisiphonage device. Child’s Nervous System 3: 282–4. Epstein F, Lapras C, Wisoff JH (1988) Slit ventricle syndrome: etiology and treatment. Pediatric Neuroscience 14: 5–10. Fishman RA (1984) The pathophysiology of pseudotumor cerebri. Archives of Neurology 41: 257–8. Guin S (1995) CNS practice in neurosurgery. Clinical Nurse Specialist (9 January) (1) 3–7.

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