PLAIN FILM SKULL ROENTGENOGRAPHIC CHANGES IN HYDROCEPHALUS

¹ Director, Pediatric Radiology, Michael Reese Hospital; Attending Radiologist, The Childrens Memorial Hospital; Assistant Professor of Radiology, Pritzker School of Medicine, University of Chicago, Chicago, Illinois.

The plain film skull roentgenograms of 154 infants and children were evaluated. Ninety-five patients with hydrocephalus, of known etiology, had various changes which were noted and tabulated on measured. The nature of the change, accepted as created by the pathologic intracranial process, was determined as present or absent in the normal series of patients as well.

Criteria were established by which the abnormal skulls could be differentiated from the normal skulls, the abnormal skulls could be differentiated from each other, and which would allow clues as to the specific nature of the intracranial process.

It was found that some of the developed criteria were of interest, but offered little contribution to accurate interpretation of the cause of hydrocephalus. Other established criteria helped considerably in defining the exact nature of the intracranial process.

These criteria and the plain film roentgenographic changes of the skull are discussed.

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