Question

Recently observed symptoms of lower limb scissor gait in children, diagnosed as pediatric hydrocephalus. How should treatment be carried out?

Answer

Pediatric hydrocephalus is a disease caused by an imbalance in the production and absorption of cerebrospinal fluid. Its incidence rate in infants is approximately 3‰, with simple congenital hydrocephalus accounting for 0.9‰ to 1.5‰, and hydrocephalus associated with spina bifida for 1.3‰ to 2.9‰. Clinical manifestations in infancy include the head gradually increasing in size within a few weeks or months after birth, with a mismatch in the growth ratio of the head to the body, the head being too large and heavy to hang forward over the chest, thin skull bones, glossy scalp, and dilated superficial veins. The head is disproportionate to the face, with a large head and a small face, prominent forehead, and pointed chin.