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Pediatrics Central Nervous System 4e34d712

Which of the following is the most common cause of congenital hydrocephalus?

A
Craniosynostosis
B
Intra uterine meningitis
C
Congenital aqueductal stenosis
D
Vein of Galen malformation
High-Yield Explanation
Ans. C. Congenital aqueductal stenosisObstructive or noncommunicating hydrocephalus develops most commonly in children because of an abnormality of the aqueduct of Sylvius (Congenital aqueductal stenosis) or a lesion in the fourth ventricle. Nonobstructive or communicating hydrocephalus most commonly follows a subarachnoid hemorrhage, which is usually a result of intraventricular hemorrhage in a premature infant. Among the various causes of meningitis, tuberculous meningitis has a propensity to cause hydrocephalus (due to thick, tenacious exudate that obstructs the basal cistern).

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