Chinese Medicine, 2012, 3, 113-115 http://dx.doi.org/10.4236/cm.2012.33018 Published Online September 2012 (http://www.SciRP.org/journal/cm) One-Month-Old Female Baby with Symmetrical Hydrocephalus: Treatment Option Muhammad Shakil Ahmad Siddiqui 1,2 , Khan Usmanghani 2* , Ejaz Mohiuddin 2 , Laeequr Rahman Malik 2 1 Rafah-e-Aam Dawakhana Ajmali (Clinics) and Rafah-e-Aam Herbal Laboratories, Karachi, Pakistan 2 Faculty of Eastern Medicine, Hamdard University, Karachi, Pakistan Email: * ugk_2005@yahoo.com Received July 15, 2012; revised August 16, 2012; accepted August 22, 2012 ABSTRACT A female infant, named Anum 1.8 kg was born on 9th August 2007 at Jinnah Postgraduate Medical Centre (JPMC) with a big head, Occipitofrontal Circumference (OFC) 36 cm. She was admitted on 29th August 2007 and was discharged on 5th September 2007 from Jinnah Postgraduate Medical Centre after the management of moderate birth asphyxia. Cra- nial ultrasound revealed moderate Hydrocephalus (symmetrical) with prominent third ventricle. Treatment and its effec- tiveness have been discussed. Keywords: Hydrocephalus; Meningocele; Herbal Treatment 1. Introduction Hydrocephalus is a condition where there is an excessive accumulation of cerebrospinal fluid (CSF) under pressure and at times under no pressure resulting from impaired formation and absorption of CSF. Hydrocephalus may be of two (2) types; it may be communicating (obstructive) where there is an obstruction of the ventricular system of the brain or it may be non-communicating obstructive where there is an obstruction to the flow of CSF within ventricular system. Dorsal meningocele was operated on 3rd September 2007 at Department of Neurosurgery, Jinnah Postgraduate Medical Centre (JPMC), Karachi. 2. Case Presentation A term female infant of one month old (Figure 1) was born with a big head that was not noticed earlier in-utero (Figure 2). There she had convulsions and mild fever after the delivery of the baby. No abnormalities were noted except for the mucous vaginal discharge which is not unusual for a female baby. The baby was delivered through cesarean section his- tory at Zainab Panjwani Memorial Hospital, Nishtar Road, Karachi. On delivery the baby neither cried imme- diately nor did she suck. She was just found to be a small baby with a big head and dorsal region of her spine showed a sac like projection identified as meningocele. After birth the APGAR score was 2 and 4 at first and fifth minutes respectively. The case under study belongs to congenital hydrocephalus. Figure 1. Hydrocephalus baby. * Corresponding author. Figure 2. Ultrasound of Fetus at 18th week. Copyright © 2012 SciRes. CM