• Davies NJ

• Hydrocephalus
• Infant
• Manipulation, Chiropractic
• Open Access Document

A case is reported of an infant with a definitive diagnosis of hydrocephalus secondary to congenital stenosis of the Sylvan Aqueduct who presented to a chiropractor with colicky, irritable type symptoms. These symptoms ultimately proved to be unrelated to the raised intracranial pressure and were ameliorated by the application of one chiropractic adjustment. The literature is reviewed and a discussion of the usual clinical presentation, natural history and pathogenesis of hydrocephalus in infancy is given. The inferential value of this case is to highlight the need for all clinicians engaged in the clinical care of children to perform serial measurements of the head circumference, height, weight and anterior fontanelle as a matter of routine. This case also highlights the fact that alterations of the symptomatic state by a trial of therapy is an unreliable indicator of positive clinical progress.

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