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Ventricular-Peritoneal Shunt in Newborns in a High-Risk Maternity Unit: Case Series
Barbosa, Amanda Ferreira; Carvalho Neto, José Nolasco de; Lyra, Carlos Alberto Miranda; Cavalcante, Tiago de Paiva; Morais, Rilton Marcus; Oliveira, Arthur Maynart Pereira.
Affiliation
  • Barbosa, Amanda Ferreira; Universidade Federal de Sergipe. BR
  • Carvalho Neto, José Nolasco de; Universidade Federal de Sergipe. BR
  • Lyra, Carlos Alberto Miranda; Universidade Tiradentes, Aracaju. BR
  • Cavalcante, Tiago de Paiva; Maternidade Nossa Senhora de Lourdes. BR
  • Morais, Rilton Marcus; Hospital de Cirurgia. BR
  • Oliveira, Arthur Maynart Pereira; Hospital de Cirurgia. BR
Arq. bras. neurocir ; 39(2): 72-89, 15/06/2020.
Article in En | LILACS | ID: biblio-1362512
Responsible library: BR1.1
ABSTRACT
Objective To identify factors related to ventricular-peritoneal shunt (VPS) complications in pediatric patients at a high-risk maternity hospital. Methods Prospective study, conducted between September/2018 and June/2019, with selected newborns without previous ventricular bypass who underwent neurosurgery for VPS placement in a high-risk maternity hospital in the state of Sergipe, Brazil. Diagnosis of hydrocephalus occurred by transfontanelle ultrasound. The variables were analyzed by Student t-test, adopting p < 0.05 as statistical significance. Results Seven newborns participated in the study, 3 male and 4 female. Folic acid supplementation during pregnancy was considered a positive influencing factor in the 1st minute Apgar.Hydrocephalus secondary to premature hemorrhagewas present inmost newborns. Prematurity, 1st minute Apgar score < 7, and birth weight< 2,500 g did not represent a significant negative risk factor for prolonged hospitalization after neurosurgery. One newborn had cerebrospinal fluid infection and was the only one with heart disease. Conclusion This is the first scientific research that associates the benefits of maternal use of folic acid during pregnancy to better newborn Apgar scores. Only one newborn developed complications after neurosurgery, the only one with an associated comorbidity. Further studies are needed to provide more evidence on risk factors related to complications of VPS implantation in newborns. This neurosurgical procedure in a highrisk maternity contributed to the early management of hydrocephalus.
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Full text: 1 Index: LILACS Main subject: Apgar Score / Ventriculoperitoneal Shunt / Folic Acid / Hydrocephalus Type of study: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limits: Female / Humans / Male / Newborn Language: En Journal: Arq. bras. neurocir Journal subject: Cirurgia / NEUROCIRURGIA Year: 2020 Type: Article

Full text: 1 Index: LILACS Main subject: Apgar Score / Ventriculoperitoneal Shunt / Folic Acid / Hydrocephalus Type of study: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limits: Female / Humans / Male / Newborn Language: En Journal: Arq. bras. neurocir Journal subject: Cirurgia / NEUROCIRURGIA Year: 2020 Type: Article