Hidrocefalia nu este o boala in sine, ci o afectiune care survine in momentul in care se acumuleaza mult lichid cefalorahidian la nivelul creierului si acesta se umfla – de aici si denumirea de „apa la creier”. Ca urmare a acestui fenomen apar tot felul de simptome si, in lipsa unui tratament prompt, exista riscul ca pacientul sa ramana cu sechele grave sau chiar sa moara in scurt timp. Hidrocefalia afecteaza in special nou-nascutii si persoanele peste 60 de ani.
Hidrocefalia poate cauza leziuni grave la nivelul creierului, asa ca este important sa recunosti simptomele si sa soliciti ajutor medical de urgenta. Simptomele variaza in functie de varsta persoanei afectate, dar si de localizarea, tipul si cauza hidrocefaliei, precum si de timpul scurs de la debutul acestei afectiuni.
La nou-nascuti pot aparea simptome precum:
Fontanela (moalele capului) este bombata si tensionata
Cresterea rapida a circumferintei capului
Privire in jos
Crize de epilepsie
Tonus muscular slabit
La copii mici si adolescenti pot aparea simptome precum:
Crize de plans de scurta durata
Modificari ale mimicii fetei
Dureri de cap
Lipsa echilibrului si a coordonarii miscarilor
Dimensiuni crescute ale capului
Greata si varsaturi
Tulburari de concentrare
La adulti pot aparea simptome precum:
Dureri de cap cronice
Tulburari de vedere sau/si de echilibru
Dificultati de concentrare si de memorare
La persoanele varstnice pot aparea simptome precum:
Tulburari de memorie
Dureri de cap
Incontinenta urinara sau fecala
Modificari in stilul de mers
Lichidul cefalorahidian joaca un rol important in organism. Acesta protejeaza maduva spinarii si creierul de diferite tipuri de agresiuni si ajuta la mentinerea presiunii intracraniene. Acumularea in exces a lichidului cefalorahidian la nivelul creierului are loc din mai multe motive: fie exista un blocaj care previne circulatia normala a acestuia, fie exista o afectiune a vaselor sanguine care impiedica absorbtia acestuia, fie creierul produce mai mult lichid cefalorahidian decat este normal. Ca urmare a acumularii excesive a acestuia, creierul este supus unei presiuni enorme si incepe sa se umfle, ceea ce poate duce la degradarea tesuturilor cerebrale. .Complicatiile pe termen lung ale hidrocefaliei sunt variate si adeseori greu de prezis. Daca hidrocefalia este prezenta de la nastere si nu este tratata rapid, pot aparea intarzieri majore in crestere, in dezvoltarea intelectuala si motrica. In cazul adultilor si al varstnicilor, recuperarea este mai greoaie si simptomele de natura cognitiva tind sa persiste chiar si dupa tratament. Totul depinde insa de cauza hidrocefaliei, de gravitatea simptomelor, de momentul diagnosticului si de tratamentul administrat.
Diagnosticul de hidrocefalie se obtine pe baza simptomelor resimtite, a examenului fizic general, a testarilor neurologice si a analizelor imagistice.
Examinarea fizica poate consta in observarea anumitor simptome specifice, in functie de varsta pacientului.Prognosticul unui pacient cu hidrocefalie depinde de severitatea simptomelor, de momentul diagnosticului, dar si de reactia bolnavului la tratamentul administrat. Majoritatea pacientilor care urmeaza tratament observa o ameliorare semnificativa a simptomelor si au o speranta de viata ridicata. Totusi intarzierea tratamentului poate duce la complicatii sau chiar la deces. Copiii care sufera de hidrocefalie si nu sunt tratati in scurt timp pot prezenta sechele pentru toata viata. Acestea pot fi insa prevenite sau ameliorate cu ajutorul terapiei ocupationale, al fizioterapiei sau logopedie
In lipsa tratamentului, hidrocefalia poate fi fatala. Trebuie tinut cont insa ca tratamentul nu poate reface leziunile survenite la nivelul creierului, ci doar previne agravarea acestora si aparitia complicatiilor, iar asta consta in reglarea nivelului de lichid cefalorahidian.
Exista trei metode chirurgicale care pot restabili echilibrul circulatiei si nivelului lichidului cefalorahidian la nivelul creierului:
Implantarea unui sunt (un tub flexibil) in sistemul ventricular, care redirectioneaza circulatia lichidului cefalorahidian in alte zone ale corpului, de obicei in cavitatea abdominala, inima etc.
Efectuarea unei ventriculostomii pe cale endoscopica – consta in realizarea unui orificiu de mici dimensiuni la nivelul celui de-al treilea ventricul cerebral, cu scopul de a permite lichidului cefalorahidian sa circule. Este o metoda mai rar folosita, deoarece prezinta o eficacitate mai redusa.
Cauterizarea plexurilor coroide, structurI simetrice localizate in ventriculii cerebrali care produc lichidul cefalorahidian, simultan cu efectuarea ventriculostomiei – este o interventie riscanta si rareori pusa in practica.
Toate aceste interventii prezinta insa si riscuri. In cazul pacientilor cu implant de sunt poate aparea in timp un blocaj care impiedica scurgerea lichidului cefalorahidian, dar si infectii sau sangerari. Semnele unei complicatii postchirurgicale includ: febra, iritabilitate crescuta, somnolenta excesiva, dureri de cap puternice, greata si varsaturi, tulburari de vedere, dureri, roseata sau sensibilitate in zona implantului.Aceste simptome necesita atentie medicala de urgenta si, eventual, inlocuirea implantului de sunt ventricular.
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Medipol University Hospital is the Turkey’s largest private health investment as a university hospital incorporating General, Cardiovascular Surgery, Oncology and Dental hospitals, Medipol University Hospital attracts attention with its modern architecture intelligent building technology and advanced medical equipment and bears the distinction of being one of Turkey’s best hospitals with a new generation of technology. Medipol University Hospital, is a new reference center in the health sector in both national and international arenas. Medipol University Hospital, being the justifiably proud of Medipol Education and Health Group in Turkey and in the world, resulting in this spirit, is a health complex having JCI standards accepting patients from all over the world. Medipol University Hospital takes firm steps forward with the big investments and advances in preventive / curative health services to improve the community’s quality of life. Medipol University Hospital has capacity of 470 beds 133-bed Intensive Care Units (General, Coronary, CVC, Neonatal Intensive Care) all serving with an infrastructure equipped with intelligent systems and technology. Medipol University Hospital , having the highest number of departments within the hospitals in Turkey, presents patient-centered superior service approach. The hospital is also is configured with a new generation of technology being capable of performing simultaneous operations in 25 operating rooms. Away from the usual hospita architecture, Medipol University Hospital is a complex which may become an example in the world with its “Healing Hospital Architecture” and original scape in order to make patients and their relatives feel better. Medipol University Hospital has 15 acres of gardens, 26 thousand square meters of 5 storey under ground car park, 100 thousand square meters of indoor area and 1,500 people of employment capacity. Holding the comfort and convenience of the patients at the forefront, Medipol University Hospital host patients and their relatives in the comfort of home environment. There are totally 470 beds involving spacious and modern physical areas, terrace garden suites, suites and normal rooms. Patients can benefit from multimedia services (TV, DVD, internet) in rooms equipped with LCD screen . In addition to the any kind of comfort of modern life that the patient and their relatives may need, a high – quality meal service is also supplied.
Acibadem Healthcare Group, Turkey's first-ever healthcare institution, has been providing quality medical services since 1991 with state-of-the-art technology.
Acibadem has nearly 12,000 employees, of whom 2,200 are physicians, in various locations in the network of 22 general hospitals, 19 medical centers and central laboratories.
It is an internationally accredited health care group located in the central part of Turkey, with preponderance in the beautiful city of Istanbul.
Acibadem, which, through its current investments, is continuously expanding its health care institutions, has reached a total of 85 operating rooms and a capacity of 2,200 hospital beds in 400,000 square meters.
An institution that fueled dozens of worthwhile projects in Turkey, Anadolu Foundation made another dream real by founding Anadolu Medical Center. Relying on the valuable heritage of Anatolia that boasts of thousands of years of medical knowledge and was home to many valuable people of medicine, our hospital uses this knowledge to contribute to human health. Working in strategic cooperation with Johns Hopkins Medicine for the improvement of education and quality, our hospital provides services in all branches including in particular, oncologic sciences, cardiovascular health, gynecology and IVF, neurological sciences, surgical sciences, internal medicine, diagnosis and imaging. Established on an area of 188.000 square meters and an indoor area of 50 thousand square meters with a capacity of 201 beds, our hospital provides services with JCI (Joint Commission International) accreditation, ESMO (European Society for Medical Oncology), ISO (18001, 14001 and 9001) certifications. Anadolu Medical Center continues to provide healthcare services also at Ataşehir with its Outpatient Clinic. Procedural archives of patients who receive services at the Outpatient Clinic are kept in the virtual environment. Having started to render service in June 2010 within the structure of the hospital, the Bone Marrow Transplantation Center performs bone marrow transplants for 22 patients at the same time. Our patients are always the number one priority at our hospital. For this reason, we give value to the needs and expectations of our patients, and make every effort to ensure that they have a peaceful treatment process and feel at home.
Hisar Hospital Intercontinental based in İstanbul, is one of the nation’s largest and most comprehensive private hospitals, with offers highest quality diagnosis and treatment in the most comfortable, safe and patient oriented environments, employing the latest and best medical technologies.
The Hospital was founded on closed area of 35,000 square meters and it offers services in Ümraniye, İstanbul. That is only 20 minutes to Sabiha Gökçen International Airport, 5 minutes to Bosphorus and at the joint of the continents, Asia and Europe. It’s aimed to supply the patient satisfaction at the highest level with its diagnosis and treatment units using advanced medical technology. With 170 patient bed capacity and 7 operating rooms where all kinds of specialized operations including Cardiovascular Surgery can be carried out and a total of 36 Intensive Care beds that can provide special care to each patient in single rooms.
Since 1992, Medicana Health Group sustains its progression on the way to determine the standards of future healthcare services. Today, Medicana Health Group, which carries on its activities especially in Istanbul and Ankara, constantly provides the most advanced healthcare services in all aspects of health in Konya, Samsun, Sivas and Bursa through its 13 hospitals and 6500 employees on average. Medicana Health Group not only pioneered the development of health tourism in our country, it also became one of the important centers in treatment of international patients in multidisciplinary healthcare. In order to provide sustainable healthcare services, many offices have been established at important locations of the world.
Israel's Herzliya Medical Center (HMC) is a state-of-the-art medical institution offering a wide range of medical services to all international peacekeeping organizations in Israel: UNDOF, UN, UNIFIL, UNTSO & MFO.
Herzliya Medical Center cooperates with organizations in the U.S. and other organizations worldwide since 1984. The latter have chosen to cooperate with the Herzliya Medical Center for the latest generation of medical services including: state-of-the-art diagnostic facilities, modern laboratories, advanced imaging institutes, reputable physicians and highly trained surgeons , exclusive hospitalization standards, first class rehabilitation services.
Since 1999, U.N. and UNDOF chose the private hospital at Herzliya Medical Center (HMC), Israel's first healthcare provider. The assessment includes the level of medical assistance provided, physician qualifications, operating room standards, and intensive care unit. Herzliya Medical Center is located in Herzliya, an attractive seaside town with a stunning beach. The convenient location of the hospital allows employees in U.N. to arrive in southern and northern Israel in a few hours.
A symbol of excellence in medicine, Liv Hospital Istanbul combines the quality of care services with the high level of training of the team experienced by specialists, surgeons and nurses.
The center has the most advanced methods of diagnosis and treatment, using the latest equipment and technology.
Wiener Privatklinik, the largest private hospital in Vienna, dating back to 1871, set the goal of providing patients with first-class medical expertise and an individualized care center for patients – all delivered in a sophisticated ambience. Due to the proximity of the University Hospital, WPK is the seat of the most renowned medical experts who teach and practice at the University Clinics. This guarantees our patients evidence-based services, state-of-the-art technology and personalized care. The hospital has 145 beds, an operator block with 4 operating rooms, advanced imaging services (the only private hospital in Vienna with PET CT and nuclear medicine), physiotherapy and medical recovery at international standards. The medical team consists of over 250 reputable Viennese experts who apply an interdisciplinary approach to each case.
Assuta is Israel’s largest and leading private medical services center, comprising eleven clinics and hospitals across Israel and providing innovative surgeries and diagnostic procedures in all fields of medicine, including cardiology, oncology, gynecology, urology and more.
Assuta Hospital in Tel-Aviv was established in 1934, and over the past 70 years has become renowned as the most advanced hospital in the Middle East.
Assuta specialists and surgeons undergo a thorough selection process, which means at Assuta you can expect the highest medical and professional standards.
Assuta employs the latest cutting-edge technologies both from Israel and abroad.
Our senior physicians possess solid experience in the implementation of modern technologies and techniques, so you have a choice of the most advanced treatment that is suitable for you.
The use of modern technologies, devices and prosthetic materials minimizes both the duration of the surgery and the recovery period, adding further to the patient’s quality of life.
Spitalul Assuta din Tel-Aviv a fost infiintat in 1934, iar in ultimii 70 de ani a devenit renumit ca fiind cel mai avansat spital din Orientul Mijlociu.