Clinical Experience of Infantile Posthemorrhagic Hydrocephalus Treated with Ventriculo-Peritoneal Shunt / 대한신경손상학회지
Korean Journal of Neurotrauma
; : 106-111, 2015.
Article
in En
| WPRIM
| ID: wpr-205824
Responsible library:
WPRO
ABSTRACT
OBJECTIVE:
Infantile posthemorrhagic hydrocephalus (IPHH) is the most common cause of infantile acquired hydrocephalus. We present and discuss our experience of treatment of six IPHH patients treated by a ventriculo-peritoneal (VP) shunt.METHODS:
Six preterm infants treated by a VP shunt due to germinal matrix hemorrhage and hydrocephalus were included in our study. External ventricular drainage (EVD) was performed in patients with symptomatic ventricular dilatation, and a VP shunt was placed in the case of no improvement of the ventricular index despite several rounds of EVD. Radiographic findings and surgical outcomes were analyzed retrospectively.RESULTS:
Four patients were male and two were female. Mean gestational age was 25 weeks and mean weight at birth was 868.3 g. One patient had a Papile grade II (16.7%) hemorrhage, three had a grade III (50%) hemorrhage, and two had a grade IV (33.3%) hemorrhage. EVD complications (one case of ventriculitis and one case of a ventricular abscess) occurred in two patients. VP shunt complications occurred in two patients (33.3%). Three cases had an isolated 4th ventricle; two of these cases had a VP shunt placed whereas the other case had a VP shunt placed in addition to aqueductoplasty using a neuroendoscope. At the last follow-up, three of the six patients had severe neurodevelopmental delay, two had mild neurodevelopmental delay, and one had normal development status.CONCLUSION:
In our study, although it is difficult to present the significant result for management of IPHH, we think that varied efforts are required to treat IPHH patients.Key words
Full text:
1
Index:
WPRIM
Main subject:
Infant, Premature
/
Cerebrospinal Fluid Shunts
/
Drainage
/
Retrospective Studies
/
Follow-Up Studies
/
Gestational Age
/
Ventriculoperitoneal Shunt
/
Parturition
/
Neuroendoscopes
/
Dilatation
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Female
/
Humans
/
Infant
/
Male
/
Newborn
Language:
En
Journal:
Korean Journal of Neurotrauma
Year:
2015
Type:
Article