Congenital hydrocephalus after peripartum infection usually presents early in life; however, we present a 92-year-old female patient with newly diagnosed hydrocephalus secondary to peripartum infection. Intracranial imaging showed ventriculomegaly, calcifications bilaterally throughout the cerebral hemispheres, and findings suggesting a chronic process. This presentation is most likely to occur in low-resource settings, and given the risks of operation, conservative management was preferred.
WrightZLarrewTWEskandariR. Pediatric hydrocephalus: current state of diagnosis and treatment. Pediatr Rev2016; 37: 478–490. DOI: 10.1542/pir.2015-0134. 2016/11/03.
2.
DewanMCRattaniAMekaryR, et al.Global hydrocephalus epidemiology and incidence: systematic review and meta-analysis. J Neurosurg2018; 1: 1065–1115. DOI: 10.3171/2017.10.Jns17439. 2018/04/28.
3.
McAllisterJP2nd. Pathophysiology of congenital and neonatal hydrocephalus. Semin Fetal Neonatal Med2012; 17: 285–294. DOI: 10.1016/j.siny.2012.06.004. 2012/07/18.
4.
PartingtonMD. Congenital hydrocephalus. Neurosurg Clin N Am2001; 12: 737–742. 2001/08/29.
5.
ChervenakFMentLMcclureM, et al.Outcome of fetal ventriculomegaly. The Lancet1984; 324: 179–181.
6.
MuirRTWangSWarfBC. Global surgery for pediatric hydrocephalus in the developing world: a review of the history, challenges, and future directions. Neurosurgical Focus2016; 41: E11.
7.
SaadeCNajemEAsmarK, et al.Intracranial calcifications on CT: an updated review. J Radiol Case Rep2019; 13: 1–18. DOI: 10.3941/jrcr.v13i8.3633. 2019/09/29.
8.
GonçalvesFGCascheraLTeixeiraSR, et al.Intracranial calcifications in childhood: part 1. Pediatr Radiol2020; 50: 1424–1447. DOI: 10.1007/s00247-020-04721-1. 2020/08/01.
9.
ManicklalSEmeryVCLazzarottoT, et al.The “silent” global burden of congenital cytomegalovirus. Clin Microbiol Rev2013; 26: 86–102. 2013/01/09. DOI: 10.1128/cmr.00062-12.
10.
EdwardsRJDombrowskiSMLucianoMG, et al.Chronic hydrocephalus in adults. Brain Pathol2004; 14: 325–336. DOI: 10.1111/j.1750-3639.2004.tb00072.x. 2004/09/28.
11.
ChouCYLiuJHWangSM, et al.Hyponatraemia in patients with normal pressure hydrocephalus. Int J Clin Pract2009; 63: 457–461. DOI: 10.1111/j.1742-1241.2008.01925.x. 2009/02/19.
12.
FukuharaTLucianoMG. Clinical features of late-onset idiopathic aqueductal stenosis. Surg Neurol2001; 55: 132–136. discussion 136-137. 2001/04/20. DOI: 10.1016/s0090-3019(01)00359-7.
13.
CarlstromLPEltanahyAPerryA, et al.A clinical primer for the glymphatic system. Brain2022; 145: 843–857. DOI: 10.1093/brain/awab428. 2021/12/11.
14.
TullyHMDobynsWB. Infantile hydrocephalus: a review of epidemiology, classification and causes. Eur J Med Genet2014; 57: 359–368. 2014/06/17. DOI: 10.1016/j.ejmg.2014.06.002.
15.
HallerSSchefflerMSalomirR, et al.MRI detection of cerebral microbleeds: size matters. Neuroradiology2019; 61: 1209–1213. DOI: 10.1007/s00234-019-02267-0. 2019/08/10.
16.
KhanFRehmanAShamimMS, et al.Factors affecting ventriculoperitoneal shunt survival in adult patients. Surg Neurol Int2015; 6: 25–2015. DOI: 10.4103/2152-7806.151388.
