Treatment of Posthemorrhagic Hydrocephalus in Premature Infants with Subcutaneous Reservoir DrainageYu B. · Li S. · Lin Z. · Zhang N.
Departments of aNeonatology, bRehabilitation Medicine and cNeurosurgery, Second Affiliated Hospital of Wenzhou Medical College, Wenzhou, China
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.
Department of Neonatology, Second Affiliated Hospital of Wenzhou Medical College
No. 109 Xueyuanxilu Street
Wenzhou, Zhejiang 325027 (China)
Tel./Fax +86 577 8881 6211, E-Mail email@example.com
B.Y. and S.L. contributed equally to this work.
Received: May 22, 2008
Accepted after revision: December 8, 2008
Published online: March 21, 2009
Number of Print Pages : 7
Number of Figures : 3, Number of Tables : 1, Number of References : 22
Vol. 45, No. 2, Year 2009 (Cover Date: April 2009)
Journal Editor: Frim D.M. (Chicago, Ill.)
ISSN: 1016-2291 (Print), eISSN: 1423-0305 (Online)
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