Cerebrospinal fluid drainage options for posthemorrhagic hydrocephalus in premature neonates
ABSTRACT Objective The literature describes various cerebrospinal fluid (CSF) drainage techniques to alleviate posthemorrhagic hydrocephalus in preterm newborns; however, consensus has not been reached. The scope of this study was describing a case series of premature neonates with posthemorrhagic...
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| Series: | Arquivos de Neuro-Psiquiatria |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017000700433&lng=en&tlng=en |
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| author | José Roberto Tude Melo Rosane Klein Passos Marcelo Liberato Coelho Mendes de Carvalho |
| author_facet | José Roberto Tude Melo Rosane Klein Passos Marcelo Liberato Coelho Mendes de Carvalho |
| author_sort | José Roberto Tude Melo |
| collection | DOAJ |
| description | ABSTRACT Objective The literature describes various cerebrospinal fluid (CSF) drainage techniques to alleviate posthemorrhagic hydrocephalus in preterm newborns; however, consensus has not been reached. The scope of this study was describing a case series of premature neonates with posthemorrhagic hydrocephalus and assessing the outcomes of different approaches used for CSF diversion. Methods A consecutive review of the medical records of neonates with posthemorrhagic hydrocephalus treated with CSF drainage was conducted. Results Forty premature neonates were included. Serial lumbar puncture, ventriculosubgaleal shunt, and ventriculoperitoneal shunt were the treatments of choice in 25%, 37.5% and 37.5% of the cases, respectively. Conclusion Cerebrospinal fluid diversion should be tailored to each case with preference given to temporary CSF drainage in neonates with lower age and lower birth-weight, while the permanent ventriculoperitoneal shunt should be considered in healthier, higher birth-weight neonates born closer to term. |
| format | Article |
| id | doaj-art-e386ac32e0174e14951cf6d2f82dede7 |
| institution | OA Journals |
| issn | 1678-4227 |
| language | English |
| publisher | Thieme Revinter Publicações |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj-art-e386ac32e0174e14951cf6d2f82dede72025-08-20T02:04:17ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-422775743343810.1590/0004-282x20170060S0004-282X2017000700433Cerebrospinal fluid drainage options for posthemorrhagic hydrocephalus in premature neonatesJosé Roberto Tude MeloRosane Klein PassosMarcelo Liberato Coelho Mendes de CarvalhoABSTRACT Objective The literature describes various cerebrospinal fluid (CSF) drainage techniques to alleviate posthemorrhagic hydrocephalus in preterm newborns; however, consensus has not been reached. The scope of this study was describing a case series of premature neonates with posthemorrhagic hydrocephalus and assessing the outcomes of different approaches used for CSF diversion. Methods A consecutive review of the medical records of neonates with posthemorrhagic hydrocephalus treated with CSF drainage was conducted. Results Forty premature neonates were included. Serial lumbar puncture, ventriculosubgaleal shunt, and ventriculoperitoneal shunt were the treatments of choice in 25%, 37.5% and 37.5% of the cases, respectively. Conclusion Cerebrospinal fluid diversion should be tailored to each case with preference given to temporary CSF drainage in neonates with lower age and lower birth-weight, while the permanent ventriculoperitoneal shunt should be considered in healthier, higher birth-weight neonates born closer to term.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017000700433&lng=en&tlng=encerebral hemorrhagehydrocephaluscerebrospinal fluid |
| spellingShingle | José Roberto Tude Melo Rosane Klein Passos Marcelo Liberato Coelho Mendes de Carvalho Cerebrospinal fluid drainage options for posthemorrhagic hydrocephalus in premature neonates Arquivos de Neuro-Psiquiatria cerebral hemorrhage hydrocephalus cerebrospinal fluid |
| title | Cerebrospinal fluid drainage options for posthemorrhagic hydrocephalus in premature neonates |
| title_full | Cerebrospinal fluid drainage options for posthemorrhagic hydrocephalus in premature neonates |
| title_fullStr | Cerebrospinal fluid drainage options for posthemorrhagic hydrocephalus in premature neonates |
| title_full_unstemmed | Cerebrospinal fluid drainage options for posthemorrhagic hydrocephalus in premature neonates |
| title_short | Cerebrospinal fluid drainage options for posthemorrhagic hydrocephalus in premature neonates |
| title_sort | cerebrospinal fluid drainage options for posthemorrhagic hydrocephalus in premature neonates |
| topic | cerebral hemorrhage hydrocephalus cerebrospinal fluid |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017000700433&lng=en&tlng=en |
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