Hydrocephalus medical therapy: Difference between revisions

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{{Hydrocephalus}}
{{Hydrocephalus}}
{{CMG}}; '''Associate Editor-In-Chief:''' [[User:zorkun|Cafer Zorkun]] M.D., PhD.,{{KD}}
{{CMG}}; {{SAH}} '''Associate Editor-In-Chief:''' [[User:zorkun|Cafer Zorkun]] M.D., PhD.,{{KD}}
==Overview==
==Overview==
Acetazolamide and furosemide may provide temporary relief but long term results are disappointing.
==Medical Therapy==
==Medical Therapy==
'''[[Carbonic anhydrase inhibitor]]''':   [[Acetazolamide]] may provide temporary relief by reducing the rate of CSF production, but long term results are disappointing.
*Hydrocephalus is a medical emergency and requires prompt treatment.
*The mainstay of treatment for hydrocephalus is [[Furosemide]].
 
1.1.1 Adult
*Resuscitation;
**Oxygen.
**B.P management.
**End organ perfusion.
 
 
Preferred regimen (1): Hypertonic saline in bolus 250 mL/kg IV.
Preferred regimen (2): Furosemide 0.5 to 1.0 mg/kg IV q6-12h.
Preferred regimen (3):  Manitol 0.5-1g/kg in 20% solution IV q6-12h.
Alternative regimen (1): Glucocorticoids.
Alternative regimen (2): Pentobarbital 5-20 mg/kg as a bolus followed by 1-4 mg/kg/hr.
Alternative regimen (3): Acetaminophen  500 mg PO q6h for 7-14 days.
 
 
 
 


'''[[Diuretics]]''':  [[Furosemide]] can be used as an adjunctive therapy with acetazolamide.
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}


[[Category:Neurological disorders]]
[[Category:Neurological disorders]]
[[Category:Greek loanwords]]
[[Category:Disease]]
[[Category:Disease]]
[[Category:Neurology]]
[[Category:Neurology]]
[[Category:Grammar]]
[[Category:Pediatrics]]


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Revision as of 21:05, 9 August 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Syed Ahsan Hussain, M.D.[2] Associate Editor-In-Chief: Cafer Zorkun M.D., PhD.,Kalsang Dolma, M.B.B.S.[3]

Overview

Medical Therapy

  • Hydrocephalus is a medical emergency and requires prompt treatment.
  • The mainstay of treatment for hydrocephalus is Furosemide.

1.1.1 Adult

  • Resuscitation;
    • Oxygen.
    • B.P management.
    • End organ perfusion.


Preferred regimen (1): Hypertonic saline in bolus 250 mL/kg IV. Preferred regimen (2): Furosemide 0.5 to 1.0 mg/kg IV q6-12h. Preferred regimen (3): Manitol 0.5-1g/kg in 20% solution IV q6-12h. Alternative regimen (1): Glucocorticoids. Alternative regimen (2): Pentobarbital 5-20 mg/kg as a bolus followed by 1-4 mg/kg/hr. Alternative regimen (3): Acetaminophen 500 mg PO q6h for 7-14 days.



References

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