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Introduction
Pediatric hydrocephalus is an acute disease that has become chronic as a result of successful surgical management. Long-term survivors of pediatric hydrocephalus, historically a small number, now comprise the bulk of such patients. The clinical outcomes of these patients are not well documented in the literature, and their management poses a complicated challenge to neurosurgeons. The functional outcomes of these patients and their integration into adult society are also of interest for evaluating the medico-economic impact of medical and surgical management.
Key Points
- Growing population: Patients treated for hydrocephalus during childhood are becoming a large population in need of continuing medical and surgical management.
- Lifelong condition: Lifelong follow-up is necessary for all patients with shunts.
- Morbidity due to disease, not treatment: Sequelae of the initial disease represent the largest cause of morbidity in these patients, not the shunt.
- Current treatment allows normal activities: Sequelae permitting, patients with shunts should be encouraged to engage in all normal activities.
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