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Published in: Child's Nervous System 9/2021

01-09-2021 | Hydrocephalus | Original Article

Neurodevelopmental profile in children with benign external hydrocephalus syndrome. A pilot cohort study

Authors: Federica Maruccia, Laura Gomáriz, Katiuska Rosas, Turgut Durduran, Fernando Paredes-Carmona, Juan Sahuquillo, Maria A. Poca

Published in: Child's Nervous System | Issue 9/2021

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Abstract

Purpose

The management of children with benign external hydrocephalus (BEH) remains controversial. Most BEH children do well in the long-term, but a substantial number have temporary or permanent psychomotor delays. The study aims to assess the prevalence and pattern of neurodevelopmental delay in a cohort of children with BEH.

Methods

We conducted a cohort study of 42 BEH children (30 boys and 12 girls, aged 6 to 38 months). A pediatric neurosurgeon performed a first clinical evaluation to confirm/reject the diagnosis according to the clinical features and neuroimaging studies. Two trained evaluators assessed the child’s psychomotor development using the third edition of the Bayley Scales of Infant and Toddler Development (Bayley-III). Developmental delay was defined as a scaled score < 7 according to the simple scale and/or a composite score < 85.

Results

Eighteen children (43%) presented statistically lower scores in the gross motor and composite motor of the Bayley-III scales compared to their healthy peers.

Conclusion

In BEH, it is important to establish a diagnostic algorithm that helps to discriminate BEH patients that have self-limiting delays from those at risk of a persistent delay that should be referred for additional studies and/or interventions that might improve the natural evolution of a disease with high impact on the children and adult’s quality of life.
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Metadata
Title
Neurodevelopmental profile in children with benign external hydrocephalus syndrome. A pilot cohort study
Authors
Federica Maruccia
Laura Gomáriz
Katiuska Rosas
Turgut Durduran
Fernando Paredes-Carmona
Juan Sahuquillo
Maria A. Poca
Publication date
01-09-2021
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 9/2021
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-021-05201-z

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