Treatment of Posthemorrhagic Hydrocephalus in Premature Infants with Subcutaneous Reservoir DrainageYu B.a · Li S.b · Lin Z.a · Zhang N.c
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.
© 2009 S. Karger AG, Basel
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)
For additional information: http://www.karger.com/PNE