DEPARTMENT : KAUMARABHRITYA
GOVT. AYURVEDA COLLEGE , THIRUVANANTHAPURAM
Subject : HYDROCEPHALUS
Presenters : 1. Dr. Tinku Sasi , Final year P.G Scholar
2.Dr. Reshma R.G, Final year P.G Scholar
Date and Time : 12/07/2017, 02:00 pm
Abstract of Paper
Hydrocephalus is a clinical
condition in Paediatric neurosurgical practices characterised by abnormal
accumulation of cerebrospinal fluid which may be due to obstruction in the flow
of CSF or due to inequlibrium in the production and reabsorption of CSF. This
may lead to the dilation of ventricular system with corresponding compressive
effects on the brain parenchyma due to increased intracranial pressure. The
condition is mainly classified based on its pathology as obstructive
(non-communicating) and non-obstructive (communicating) type. The management
modalities are different as per the different clinical features and pathologies.
Ventriculo peritoneal shunt is the gold standard of treatment but endoscopic 3
rd ventriculostomy is gaining its prominence as an alternative. The prognosis
depends on aetiology, intracranial pressure, extend of neuronal damage and the
timing of diagnosis and treatment. In Ayurvedic treatise namely Bhaishajya
Ratnavali, condition similar to Hydrocephalus is explained in the name of
Sheershambu/ Jalasheershakam. Various kinds of Hydrocephalus, its
pathophysiology, management and complications along with features of Sheershamburoga
in Ayurvedic treatises are reviewed.
A single case study showing the effectiveness
of timely Ayurvedic intervention in the management of hydrocephalus with improvements
in the gross motor and cognitive areas is also included under this section. The
case consisted of a 6 month old irritable baby who presented with complaints of
high pitched cry, global developmental delay, bulged anterior fontanel,
prominent scalp veins and a sunsetsign in eyes. In the acute phase of management, line
of treatment of Sheershamburoga was done and the increased intracranial
pressure symptoms were relieved. In the next phase, the developmental delay was
managed as Sirogatha Vatavyadhi. Within one course of treatment the child
showed considerable gross motor and cognitive improvement which revealed that Ayurvedic
interventions can be used in the management of hydrocephalus and its sequelae
of developmental disabilities with diagnosis and treatment at an early age and
through proper understanding of the vyadhyavastha.
Key Words: Hydrocephalus, Seershamburoga
Dr C S Sivakumar,
Co-ordinator, Seminar Committee
