Document Detail


Treatment of posthemorrhagic hydrocephalus in premature infants with subcutaneous reservoir drainage.
MedLine Citation:
PMID:  19307746     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: To investigate the effectiveness of subcutaneous reservoir drainage as a treatment for the different types of posthemorrhagic hydrocephalus in premature infants. METHODS: 11 premature infants with posthemorrhagic hydrocephalus underwent subcutaneous reservoir embedment surgery, and cerebrospinal fluid (CSF) was drained via the reservoir intermittently for 8 weeks. During the period of drainage, ultrasound and computerized tomography were used to measure ventricle size. CSF examinations were performed routinely to assess the presence of intraventricular hemorrhage (IVH) and/or infection. RESULTS: (1) Five infants were diagnosed as having obstructive hydrocephalus; 2 had nearly normal ventricle sizes with treatment and drainage was stopped after 8 weeks, 2 had nearly normal ventricle sizes after 4 more weeks of drainage, and 1 underwent ventriculoperitoneal shunt (V-P shunt) surgery due to failure of ventricle size reduction. (2) Six infants were diagnosed as having communicating hydrocephalus; 4 had further enlarged ventricle size after 8 weeks and underwent V-P shunt surgery, 1 had treatment aborted at week 8 of drainage, and only 1 had moderate reduction of ventricle size after 8 weeks. (3) None of the 11 infants had progressive IVH and/or intracranial infection during drainage. CONCLUSIONS: Subcutaneous reservoir drainage is a suitable and safe treatment for posthemorrhagic hydrocephalus in premature infants. It is more effective for obstructive hydrocephalus than for communicating hydrocephalus.
Authors:
Bo Yu; Shasha Li; Zhenlang Lin; Nu Zhang
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2009-03-21
Journal Detail:
Title:  Pediatric neurosurgery     Volume:  45     ISSN:  1423-0305     ISO Abbreviation:  Pediatr Neurosurg     Publication Date:  2009  
Date Detail:
Created Date:  2009-04-17     Completed Date:  2010-02-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9114967     Medline TA:  Pediatr Neurosurg     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  119-25     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2009 S. Karger AG, Basel.
Affiliation:
Department of Neonatology, Second Affiliated Hospital of Wenzhou Medical College, No. 109 Xueyuanxilu Street, Wenzhou, Zhejiang, China. dog4317169@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Cerebrospinal Fluid Shunts / methods
Drainage / methods*
Follow-Up Studies
Humans
Hydrocephalus / diagnosis,  etiology,  surgery*
Infant
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases / diagnosis,  etiology,  surgery*
Intracranial Hemorrhages / complications,  diagnosis,  surgery*
Subcutaneous Tissue / surgery
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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