What symptom does supratentorial hydrocephalus have?
summary
Hydrocephalus is a kind of disease that the cerebrospinal fluid secretion is too much or (and) circulation and absorption disorders caused by brain diseases, resulting in the increase of cerebrospinal fluid volume, ventricular system expansion or (and) subarachnoid space expansion. The typical symptoms are headache, vomiting, blurred vision, optic nerve papilledema, occasionally with diplopia, vertigo and seizures. What symptom does supratentorial hydrocephalus have? Let's talk about it
What symptom does supratentorial hydrocephalus have?
The typical symptoms are headache, vomiting, blurred vision, optic nerve papilledema, occasionally with diplopia, vertigo and seizures. Some patients have slow pulse, high blood pressure, disordered breathing and pupil changes;
Some patients may have ocular dyskinesia, pyramidal tract sign, muscle tone change and meningeal irritation sign; There are * symptoms of internal distention, such as vomiting, constipation, gastrointestinal bleeding, neurogenic pulmonary edema, diabetes insipidus, cerebral sodium retention and cerebral salt wasting syndrome.
Adult chronic obstructive hydrocephalus often presents with intermittent headache, distension, head sinking, dizziness, tinnitus, ear blockage, decreased vision and lower limb weakness; Obstructive hydrocephalus in infants is characterized by enlarged skull, full anterior fontanel, cranial suture cracking, scalp vein distention, sunset, nystagmus, strabismus, and may be accompanied by language and motor dysfunction, convulsions, and mental retardation.
matters needing attention
(1) Closely observe the changes of consciousness, pupil, vital signs and limb activities, pay attention to observe and measure the changes of BP, P, R and pupil, and record them on the special record sheet( 2) When t > 38.50c, effective cooling measures should be taken to reduce the oxygen consumption and basic metabolism of brain cells. Ice compress, ice pillow, frozen infusion, ice bag placed on both sides of the neck, armpit and groin should be given. For patients with hypothermia, we should observe their complexion, P, R and signs of sweating to prevent excessive collapse.