{[ promptMessage ]}

Bookmark it

{[ promptMessage ]}

Surgical repair and ongoing assistance and

Info iconThis preview shows pages 6–8. Sign up to view the full content.

View Full Document Right Arrow Icon
Surgical repair and ongoing assistance and occupational and physical therapy after repair Hydrocephalus -Extra CSF in your spine or in your brain due to an increased amount of it produced or a blockage some place in the spine causing a backup or an inadequate absorption where it’s suppose to be absorbed -If there an increased CSF the child may come out with a huge head due to the suture not being developed completely, a shunt will be put in to keep it from causing brain damage -If it is caused damage in utero or if stent gets clogged up you have symptoms of increased intracranial pressure Review the classic signs and symptoms Excess CSF that accumulates in the skull Compresses brain tissue and blood vessels CSF accumulates because excess production If cranial sutures are not closed the head enlarges Neonates: Skull can expand to a certain degree If not treated, brain tissue is damaged Older children and adults: ICP increases more rapidly than neonates Amount of brain damage depends on the rate of pressure increase and the time of relief Signs & symptoms Increasing CSF depends on age of the patient Pupil response is sluggish Scalp vein appear dilated Must be diagnosed and treated as soon as possible to minimize brain damage Infant Lethargic, irritable, and difficult to feed Eyes show “sunset sign”: white sclera visible above colored pupil High-pitched cry when moved or picked up Diagnostic test: CRI scan or MRI (to locate the obstruction or abnormal flow and determine the size or the ventricles)
Background image of page 6

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Treatment: surgery (to remove obstruction and provide a shunt for CSF from ventricle into the peritoneal cavity or other extracranial site) the shunt will have to be replaced as the child grows Spinal Cord Injuries Results from a fracture, dislocation of vertebrae resulting in compressing, stretching, or tears to the spinal cord Cervical spine injuries: may result from hyperextension or hyperflexion of neck with possible fractures Dislocation or vertebra: may crush or compress the spinal cord Compression: causes injury to spinal cord when great force is applied to top of the skull or to the feet Classification of vertebral fractures Simple: single line break Compression: crushed or shattered bone in multiple fragments Wedge: displaced angular section of the bone Dislocation: vertebra forced out of its normal position Damage may be temporary or permanent: axonal regrowth may occur Laceration of nerve tissue by bone fragments: usually permanent loss of conduction in the affected tracts Complete transection or crushing of cord: results in irreversible loss of all sensory and motor function at and below the level of injury Partial transection or crushing: may allow recovery of some function Spinal Cord Trauma -Most common locations: Cervical (1,2, 4-7, and T1-L2 lumbar vertebrae) Locations reflect most mobile portions of vertebral column and the locations where the
Background image of page 7
Image of page 8
This is the end of the preview. Sign up to access the rest of the document.

{[ snackBarMessage ]}