Risk factors for congenital hydrocephalus: a nationwide, register-based, cohort study

Research output: Contribution to journalJournal articleResearchpeer-review

Tina Noergaard Munch, Marie-Louise Hee Rasmussen, Jan Wohlfahrt, Marianne Juhler, Mads Melbye

OBJECTIVES: To investigate the associations between isolated congenital hydrocephalus (CHC) and maternal characteristics, maternal medical diseases, and medicine intake during pregnancy as well as birth characteristics of the child in a retrospective, register-based, nationwide cohort study. Furthermore, to identify the risk factors unique for isolated CHC as compared to syndromic CHC.

METHODS: We established a cohort of all children born in Denmark between 1978 and 2008. Information on CHC and maternal medical diseases were obtained from the National Patient Discharge Register, maternal intake of medicine during pregnancy from the National Prescription Drug Register, and birth characteristics of the child from the Danish National Birth Register. Rate ratios (RR) of isolated and syndromic CHC with 95% CI were estimated using log-linear Poisson regression.

RESULTS: In a cohort of 1928666 live-born children, we observed 1193 cases of isolated CHC (0.062/1000) born children. First-borns had an increased risk of isolated CHC compared to later-borns (1.32 95% CI 1.17 to 1.49) (0.72/1000 born children). First trimester exposure to maternal use of antidepressants was associated with a significantly increased risk of isolated CHC compared to unexposed children (RR 2.52, 95% CI 1.47 to 4.29) (1.5/1000 born children). Risk factors also found for syndromic CHC were: Male gender, multiples and maternal diabetes.

CONCLUSIONS: The higher risk for isolated CHC in first-born children as well as behavioural aspects and comorbidities associated with maternal use of antidepressants, should be the targets for future research. Potential biological pathways by which antidepressants may cause hydrocephalus remain to be elucidated.

Original languageEnglish
JournalJournal of Neurology, Neurosurgery and Psychiatry
Volume85
Issue number11
Pages (from-to)1253-1259
Number of pages7
ISSN0022-3050
DOIs
Publication statusPublished - Nov 2014

    Research areas

  • Antidepressive Agents, Birth Order, Birth Weight, Cohort Studies, Denmark, Female, Gestational Age, Humans, Hydrocephalus, Infant, Newborn, Male, Pregnancy, Pregnancy Complications, Pregnancy Trimesters, Prenatal Exposure Delayed Effects, Registries, Risk Factors, Sex Factors

ID: 138623309