Diagnosis, treatment and prognosis of epileptic seizures in children with hydrocephalus

Y. Chomolyak, M. Malets


Hydrocephalus is one of the most common brain disorders. Every year in the world, almost 400,000 new cases of hydrocephalus in children are registered. According to the data of the international hydrocephalus working group, the prevalence of this disease in children ranges from 1 to 32 cases per 10,000 newborns. The incidence of hydrocephalus in Ukraine, according to various authors, is 1–4 cases per 1,000 live births a year. Also, hydrocephalus is often associated with epilepsy. The prevalence of epilepsy among patients with hydrocephalus is between 12 and 50 %, according to various authors. The causes of hydrocephalus, its treatment and the complications of treatment are the potential causes of epilepsy. Epilepsy can also be the result of surgical treatment for hydrocephalus. In this situation, the issues of diagnosis, administration of anticonvulsants, surgical treatment and the prognosis of epilepsy course remain controversial. The objective of our study was to review the literature on the diagnosis, treatment and prognosis of epilepsy in children with hydrocephalus at the present stage of medical science development. The search for scientific publications was carried out using the electronic databases PubMed, Google Scholar for the keywords “hydrocephalus”, “epilepsy”, “ventriculoperitoneal shunting”. In total, 47 publications were found, including 25 original studies. Meta-analysis of studies on the specified criteria was not carried out.


hydrocephalus; epilepsy; ventriculoperitoneal shun­ting; children


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