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Posthaemorrhagic hydrocephalus

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https://www.readbyqxmd.com/read/26560885/comparison-of-the-use-of-ventricular-access-devices-and-ventriculosubgaleal-shunts-in-posthaemorrhagic-hydrocephalus-systematic-review-and-meta-analysis
#1
REVIEW
Daniel M Fountain, Aswin Chari, Dominic Allen, Greg James
INTRODUCTION: Ventricular access devices (VAD) and ventriculosubgaleal shunts (VSGS) are currently both used as temporising devices to affect CSF drainage in neonatal posthaemorrhagic hydrocephalus (PHH), without clear evidence of superiority of either procedure. In this systematic review and meta-analysis, we compared the VSGS and VAD regarding complication rates, ventriculoperitoneal shunt conversion and infection rates, and mortality and long-term disability. METHODS: The review was registered with the PROSPERO international prospective register of systematic reviews (registration number CRD42015019750) and was conducted in accordance with PRISMA guidelines...
February 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/26468612/the-initial-neurosurgical-interventions-for-the-treatment-of-posthaemorrhagic-hydrocephalus-in-preterm-infants-a-focused-review
#2
Malik Zaben, Amy Finnigan, Muhammed I Bhatti, Paul Leach
BACKGROUND: Post-haemorrhagic hydrocephalus (PHH), a potential consequence of grade II-IV germinal matrix haemorrhage, remains a significant problem in premature infants with long-term neurodevelopmental disabilities and high mortality rates. Early ventriculoperitoneal shunt (VPS) insertion is associated with a high failure rate and many complications; hence, temporising measures are always instituted until the infant is mature (age and/or weight) enough. METHODS: We have reviewed the recently available literature on the usefulness and complications of the initial measures used in the treatment of PHH; particularly, focusing on serial cerebrospinal fluid (CSF) tapping, external ventricular drainage (EVD), ventriculosubgaleal shunts (VSG), ventricular access devices (VADs), endoscopic third ventriculostomy (ETV) with and without coagulation of the choroid plexus...
2016: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/26227338/ethmoidal-meningoencephalocele-and-csf-leak-after-posthaemorrhagic-ventricular-dilatation-in-a-newborn-child
#3
Laura González-García, Bienvenido Ros-López, Sara Iglesias-Moroño, Álvaro Martín-Gallego, Antonio Carrasco-Brenes, Miguel Segura Fernández-Nogueras, Miguel Ángel Arráez-Sánchez
BACKGROUND: Rhinoliquorrhoea suggests a communication between the subarachnoid space and the sinonasal tract. Clinical presentation includes clear nasal discharge, headache, pneumocephalus, meningitis or brain abscess. Cerebrospinal fluid (CSF) leaks are mostly of traumatic origin (skull base fractures), iatrogenic (secondary to endoscopic endonasal surgery) or associated with tumour aetiology. Occasionally, hydrocephalus has been the cause of rhinoliquorrhoea in adults, presumably secondary to the chronically raised intracranial pressure with skull base erosion and meningocele...
February 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/26045185/ventriculoperitoneal-shunt-tip-as-a-rare-cause-for-recurrent-pain-episodes-in-a-child-think-irritable-peritoneum
#4
Martin Poryo, Regina Eymann, Sascha Meyer
Ventriculoperitoneal (VP) shunting is an established treatment to regulate the drainage of cerebrospinal fluid (CSF) in posthaemorrhagic hydrocephalus. Several complications (e.g. blockage of CSF shunting, overdrainage, but also catheter-related perforation of abdominal organs, etc.) may occur and may lead to painful episodes, mostly headache, in these children. Here, we report on a 7-year-old child with recurrent painful episodes after revision of a VP shunt that subsided only after repositioning of the abdominal tip of the VP shunt...
2015: Pediatric Neurosurgery
https://www.readbyqxmd.com/read/23943189/postnatal-phenobarbital-for-the-prevention-of-intraventricular-haemorrhage-in-preterm-infants
#5
REVIEW
Elisa Smit, David Odd, Andrew Whitelaw
BACKGROUND: Intraventricular haemorrhage (IVH) is a major complication of preterm birth. Large haemorrhages are associated with a high risk of disability and hydrocephalus. Instability of blood pressure and cerebral blood flow are postulated as causative factors. Another mechanism may involve reperfusion damage from oxygen free radicals. Phenobarbital has been suggested as a safe treatment that stabilises blood pressure and may protect against free radicals. OBJECTIVES: To determine the effect of postnatal administration of phenobarbital on the risk of IVH, neurodevelopmental impairment or death in preterm infants...
2013: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/22958046/aeeg-in-preterm-infants
#6
REVIEW
A Scoppa, A Casani, F Cocca, C Coletta, M G De Luca, G Di Manso, L Grappone, N Pozzi, L Orfeo
Over the last decade, the survival of premature babies has improved dramatically. Such infants, especially those with extremely low birth weight, are still affected by dangerous complications occurring during the neonatal period that often cause brain damage. Intraventricular-intraparenchymal haemorrhage (IVH-IPH), periventricular leukomalacia (PVL), seizures, meningitis and hypoxic-ischaemic encephalopathy are the most common complications. Such problems require more specialized monitoring of brain function during this critical period...
October 2012: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/22253125/-surgical-treatment-of-neonates-with-very-low-vlbw-or-extremely-low-elbw-birth-weight
#7
Ewa Sawicka, Klaudia Zak, Maria Boczar, Barbara Płoska-Urbanek, Dariusz Mydlak, Martyna Woynarowska
UNLABELLED: Progress in perinatology and neonatal intensive care led to surgical treatment of premature infants born with low (<1500 g) and extremely low (<1000 g) birth weight. AIM: Evaluation of surgical treatment in the group of neonates with very low birth weight (<1500 g) and extremely low birth weight (<1000 g). MATERIAL AND METHODS: In the years 2000-2009 in the Department of Paediatric Surgery in the Institute of Mother and Child, 617 neonates underwent surgical treatment, 101 of them (16%) were born with very low or extremely low birth weight...
July 2011: Medycyna Wieku Rozwojowego
https://www.readbyqxmd.com/read/22154041/repetitive-cerebrospinal-fluid-flushing-in-a-preterm-newborn-with-posthaemorrhagic-hydrocephalus-technical-note-and-review-of-literature
#8
Laura Columbano, Wolf O Lüdemann, Lennart H Stieglitz, Madjid Samii
No abstract text is available yet for this article.
July 2012: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/21952534/initial-proximal-obstruction-of-ventriculoperitoneal-shunt-in-patients-with-preterm-related-posthaemorrhagic-hydrocephalus
#9
COMPARATIVE STUDY
P Miranda, J A Simal, F Menor, E Plaza, R Conde, C Botella
BACKGROUND/AIMS: Obstruction is the most common complication of ventriculoperitoneal shunts in patients with hydrocephalus. Despite technical advances, rates of obstruction have barely decreased and remain at over 40% of cases. Patients suffering from preterm-related posthaemorrhagic hydrocephalus are considered a group with a particularly high risk of obstruction. The aim of the present study was to review our series of patients with preterm-related posthaemorrhagic hydrocephalus and analyse the occurrence of the first ventricular shunt obstruction as well as the related clinical and radiological factors...
2011: Pediatric Neurosurgery
https://www.readbyqxmd.com/read/21289015/management-of-posthaemorrhagic-ventricular-dilatation
#10
REVIEW
Andrew Whitelaw, Kristian Aquilina
Intraventricular haemorrhage and posthaemorrhagic ventricular dilatation remain an important challenge in the management of prematurity and are associated with significant permanent morbidity. Progressive ventricular dilatation causes white matter injury by pressure, distortion, free radical injury and inflammation. Therapeutic interventions include serial lumbar punctures, only useful when the ventricles remain in communication with the lumbar subarachnoid space, and repeated aspiration through a ventricular access device...
May 2012: Archives of Disease in Childhood. Fetal and Neonatal Edition
https://www.readbyqxmd.com/read/20495227/the-role-of-permanent-invasive-monitoring-of-intracranial-pressure-in-the-treatment-of-infants-with-posthaemorrhagic-ventricular-dilatation-after-intraventricular-haemorrhage-case-report
#11
I Tsirkvadze, M Chkhaidze, D Pruidze, G Nizharadze, D Kanjaradze
Posthaemorrhagic ventricular dilatation (PHVD) is a major complication of intraventricular haemorrhages in very preterm infants. Posthaemorrhagic ventricular dilatation is associated with a high rate of disability, multiple impairments and adverse effects of shunt surgery for hydrocephalus. It may lead to an impaired neurological prognosis, caused by a raised intracranial pressure (ICP) and concomitant decreased cerebral blood perfusion. Therefore, early intervention to decrease the ICP may improve the long term outcome...
April 2010: Georgian Medical News
https://www.readbyqxmd.com/read/19823849/relation-between-tgf-beta-1-levels-in-cerebrospinal-fluid-and-etv-outcome-in-premature-newborns-with-posthemorrhagic-hydrocephalus
#12
Radim Lipina, Stefan Reguli, Ludmila Novácková, Hana Podesvová, Eva Brichtová
OBJECT: Therapy of posthaemorrhagic hydrocephalus (PHH) by using ventriculo-peritoneal drainage bears considerable rate of complications and remains a challenge in premature newborns. The role of endoscopic third ventriculostomy (ETV) in these patients is unclear, through obstruction is proven in some patients with PHH. Transforming growth factor beta 1 (TGF-beta1) release into the cerebrospinal fluid (CSF) in time of primary bleeding is suggested as one of the possible pathophysiologic reasons of PHH formation...
March 2010: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/19266127/-ventricular-haemorrhage-in-preterm-neonates-and-posthemorrhagic-hydrocephalus-proposal-of-a-management-protocol-based-on-early-ventriculo-peritoneal-shunt
#13
B Ros-López, A M Jaramillo-Dallimonti, L S De Miguel-Pueyo, S Rodríguez-Barceló, M Domínguez-Páez, G Ibáñez-Botella, B Márquez-Márquez, M A Arráez-Sánchez
INTRODUCTION: About 50% of the preterm neonates with a ventricular haemorrhage will develop posthaemorrhagic hydrocephalus. Medical treatment is not effective neither safe, does not reduce shunt's dependence and therefore can not be recommended; early and repetitive ventricular or lumbar punctures and the use of intraventricular fibrynolitic treatment have showed no effect on reducing patient's disability, shunt's necessity or mortality of these patients and furthermore, they can have several and important side effects...
February 2009: Neurocirugía
https://www.readbyqxmd.com/read/19183463/a-review-of-the-current-treatment-methods-for-posthaemorrhagic-hydrocephalus-of-infants
#14
David Shooman, Howard Portess, Owen Sparrow
Posthaemorrhagic hydrocephalus (PHH) is a major problem for premature infants, generally requiring lifelong care. It results from small blood clots inducing scarring within CSF channels impeding CSF circulation. Transforming growth factor - beta is released into CSF and cytokines stimulate deposition of extracellular matrix proteins which potentially obstruct CSF pathways. Prolonged raised pressures and free radical damage incur poor neurodevelopmental outcomes. The most common treatment involves permanent ventricular shunting with all its risks and consequences...
2009: Cerebrospinal Fluid Research
https://www.readbyqxmd.com/read/17479304/first-experiences-with-a-2-0-microm-near-infrared-laser-system-for-neuroendoscopy
#15
H C Ludwig, T Kruschat, T Knobloch, H-O Teichmann, K Rostasy, V Rohde
Nd:YAG, argon and diode lasers have been used in neurosurgical procedures including neuroendoscopy. However, many neurosurgeons are reluctant to use these lasers because of their inappropriate wavelength and uncontrollable tissue interaction, which has the potential to cause serious complications. Recently, a 2.0-microm near infrared laser with adequate wavelength and minimal tissue penetration became available. This laser was developed for endoscopic neurosurgical procedures. It is the aim of the study to report the initial experiences with this laser in neuroendoscopic procedures...
July 2007: Neurosurgical Review
https://www.readbyqxmd.com/read/16699804/cerebrospinal-fluid-obstruction-and-malabsorption-in-human-neonatal-hydrocephaly
#16
Axel Heep, Peter Bartmann, Birgit Stoffel-Wagner, Arie Bos, Eelco Hoving, Oebele Brouwer, Albert Teelken, Carlo Schaller, Deborah Sival
INTRODUCTION: The pathophysiology involved in human neonatal high-pressure hydrocephalus (HC) includes both cerebrospinal fluid (CSF) malabsorption and obstruction. OBJECTIVE: The aim was to estimate the relative contribution between CSF malabsorption and obstruction in three different etiological groups of neonatal high-pressure HC by assessment of specific CSF biomarkers indicative of growth factor- and fibrosis-related CSF malabsorption (transforming growth factor beta-1 (TGF beta-1), aminoterminal propeptide of type 1 collagen (PC1NP)]...
October 2006: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/16541731/-posthaemorrhagic-hydrocephalus-in-newborns-current-concepts-of-formation-and-treatment-possibilities
#17
REVIEW
Jolanta Wróblewska, Janusz Swietliński
Intracranial haemorrhage is still one of major complications of preterm birth. Transfontanel ultrasonographic examination is a recognized method of peri/intraventricular haemorrhage imaging. Haemorrhages are distinguished according to four degrees Papile classification. Early diagnosis of posthaemorrhagic hydrocephalus is a very important task for neonatologist. Traditional clinical symptoms of ventricular expansion are useless criteria for posthaemorrhagic hydrocephalus diagnosis. Early diagnosis of posthaemorrhagic hydrocephalus is possible with ultrasonographic measurement of ventricular size--for example with ventricular index of Levine...
2005: Przegla̧d Lekarski
https://www.readbyqxmd.com/read/16026145/neuroendoscopic-management-of-haematocephalus
#18
Z Novak, P Nadvornik, J Chrastina, I Riha
The purpose of the paper was to publish the results of endoscopic treatment of primary and secondary haematocephalus in the group of 23 patients, treated by means of Wolf endoscopic system combined with frame based navigation with the aid of virtual reality environment. The procedure is aimed to remove blood clots from the cerebral ventricles and to reduce the volume of parenchymal haematoma in secondary haematocephalus during single surgical session. In the majority of the treated patients septostomy was added to make revision of both lateral ventricles possible from a single approach, and the operation was completed with endoscopic third ventriculostomy to reduce the amount of blood in the basal cisterns and to reestablish the patency of cerebrospinal fluid pathways, so that lumbar puncture can be safely done to facilitate the process of cleaning blood away from the cerebrospinal fluid...
2005: Bratislavské Lekárske Listy
https://www.readbyqxmd.com/read/15714352/air-encephalography-for-hydrocephalus-in-the-era-of-neuroendoscopy
#19
COMPARATIVE STUDY
A A Figaji, A G Fieggen, J C Peter
INTRODUCTION: There is often uncertainty regarding the site of the cerebrospinal fluid (CSF) block in individual patients with hydrocephalus, leading to a significant failure rate for endoscopic third ventriculostomy (ETV) when performed for unconventional pathologies such as postmeningitic and posthaemorrhagic hydrocephalus. We describe the use of lumbar air encephalography (AEG) to refine the indications for ETV in such circumstances. METHODS: Data from AEG studies used to guide indications for ETV were collected prospectively...
July 2005: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/15540999/transforming-growth-factor-betas-in-a-rat-model-of-neonatal-posthaemorrhagic-hydrocephalus
#20
S Cherian, M Thoresen, I A Silver, A Whitelaw, S Love
Posthaemorrhagic ventricular dilatation (PHVD) is a common complication of intraventricular haemorrhage in premature infants. The aim of this study was to investigate the role of transforming growth factor-betas (TGF-betas), a family of polypeptides with potent desmoplastic properties, in the aetiology of PHVD in a newly developed neonatal rat model of this disorder. Pups were injected with citrated rat blood or artificial cerebrospinal fluid (ACSF) into alternate lateral ventricles on postnatal days 7 and 8...
December 2004: Neuropathology and Applied Neurobiology
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