Based on the non-standardized, intuitive approach clinicians often use when correlating radiological morphology and etiology of hydrocephalus, we wanted to investigate the possibility of categorizing hydrocephalus in different groups purely based on radiological morphology.
BackgroundClinicians use a non-standardized, intuitive approach when correlating radiological morphology and etiology of hydrocephalus.
ObjectiveTo investigate the possibility of categorizing hydrocephalus in different groups based on radiological morphology, to analyze if these proposed groups relate to the location and type of underlying pathology, and if this can be of use in clinical practice.
Methods and materialA retrospective cohort study including 110 hydrocephalus patients below age seven seen at Rigshospitalet University Hospital, Denmark. Their neuro-imaging was analyzed and categorized based on radiological morphology. Patient charts were reviewed and possible association between the underlying cause of hydrocephalus and the proposed groups of radiological morphology was evaluated.
ResultsRadiological appearance varied distinctively between patients. A classification system was created based on the morphology of the lateral ventricles from axial sections at the level of maximal ventricular width. No statistically significant association was found between the suggested groups of morphology and the location and type of pathology.
ConclusionDistinguishable patterns of radiological morphology exist. The proposed classification system cannot in its current form indicate type and location of the underlying cause of hydrocephalus. A clear need exists for a standardized approach when evaluating etiology and treatment options based on radiological results.
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