03-27-2009, 09:28 AM
6M old girl is brought to the doctor for a routine health maintenance examination. she ws born wit a lmbosacral myelomentingocele which was successfully repaired at 2 days of age. the anterior fontanelle is 6x8 cm and bulging, and teh posterior fontane..e is 3x4cm and bulging. she has severe motro and sensory deficit involving both lower limbs. a head growth chart shows:
Age : birth , 1month, 2 month , 4 months, 6 months
head circumference(cm): 34, 36, 38, 44, 47
which of the following is the most likely cause of increase intracranial pressure:
1. acute cerebral edema
2. decrease absorption of CSF
3. dilation of cerebral arteries
4. intracranial mass lesion
5. obstruction of lateral sinus
6. obstruction of superior vena cava
7. obstruction of CSF flow
8. overproduction of CSF
Age : birth , 1month, 2 month , 4 months, 6 months
head circumference(cm): 34, 36, 38, 44, 47
which of the following is the most likely cause of increase intracranial pressure:
1. acute cerebral edema
2. decrease absorption of CSF
3. dilation of cerebral arteries
4. intracranial mass lesion
5. obstruction of lateral sinus
6. obstruction of superior vena cava
7. obstruction of CSF flow
8. overproduction of CSF