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BY FEBRUARY 3, 2009
Nursing care plan
Practice Test
Definition:
Hydrocephalus is a condition caused by an imbalance in the
production and absorption of CSF in the ventricular system.
When production exceeds absorption, CSF accumulates,
usually under pressure, producing dilation of the ventricles.
It is a term derived from the Greek words hydro meaning
water, and cephalus meaning head, and this condition is
sometimes known as water on the brain.
Acquired hydrocephalus usually results from space-occupying lesions, hemorrhage, intracranial infections or
dormant development defects.
Classification of Hydrocephalus:
Hydrocephalus can be caused by impaired
cerebrospinal fluid (CSF) flow, reabsorption, or
excessive CSF production.
A myelomeningocele is the most serious form of spina bifida. In babies with a myelomeningocele, the bones of
the spine (vertebrae) don't form properly. This lets a small sac extend through an opening in the spine. The sac
is covered with a membrane. It holds cerebrospinal fluid (CSF) and tissues that protect the spinal cord
(meninges). The sac may also contain portions of the spinal cord and nerves. The sac itself may be opened up
either before birth or during the birth.
A myelomeningocele can occur anywhere along the spinal cord. It is most common in the lower back (lumbar
and sacral areas). Babies lose function below the level of the problem. So, the higher the myelomeningocele is
on the baby's back, the more loss of function occurs.
Myelomeningocele in Children
Myelomeningoceles are present when a baby is born (congenital). About one to five babies in every 1,000
born in the United States have a myelomingocele. The condition develops during the third week of a woman's
pregnancy.
Doctors don't know exactly what causes myelomeningoceles. But there probably is a genetic component. If a
woman has one child with a myelomeningocele, there is a 3% to 5% chance that other children she has will
also have the condition.
While we don't know the exact cause of myelomeningoceles, doctors do know what can help prevent them.
Early in pregnancy, it is very important for women to get enough folic acid in their diets. This vitamin helps the
baby's neural tube develop properly. The neural tube develops into the baby's brain and spinal cord.
Most children with a myelomeningocele develop hydrocephalus, or too much cerebrospinal fluid in parts of
the brain. Neurosurgeons at Seattle Children's have a great deal of experience putting in shunts, a common
treatment for hydrocephalus. We also have a lot of experience treating children with the related problems
of spinal cord tethering,Chiari malformation and syringomyelia.