Posthemorrhagic HydrocephalusUse of an Intravenous-Type Catheter for Cerebrospinal Fluid Drainage
Peter J. Marro, MD;
Douglas A. Dransfield, MD;
Stephen H. Mott, MD;
Walter C. Allan, MD
Am J Dis Child. 1991;145(10):1141-1146.
Abstract
| |
Study Objective
To report a 9-year experience with the treatment of posthemorrhagic hydrocephalus (PHH) with the use of an easily inserted external ventricular drain.
Design
A case series with a retrospective review of hospital records and cranial ultrasound results, from 1981 through 1989, in all infants with PHH.
Intervention
A previously defined method of identification and bedside management of PHH was applied. If infants reached 2 kg of body weight and PHH recurred, a ventriculoperitoneal shunt was inserted.
Results
A total of 70 procedures were performed in 24 patients, and all were associated with a decrease in head circumference and ventricular size on ultrasound scan. One infection occurred, and only 12 infants required a ventriculoperitoneal shunt.
Conclusions
This technique compared favorably with other methods of intervention to avoid early placement of a ventriculoperitoneal shunt in preterm infants and offered the advantage of consistently decreasing ventricular size. A multicenter-controlled trial will be needed to compare the safety and efficacy of therapies for PHH.
(AJDC. 1991;145:1141-1146)
Author Affiliations
From the Department of Pediatrics, Maine Medical Center, Portland.
Footnotes
Accepted for publication June 24, 1991.
Presented in part at the annual meeting of the Child Neurology Society, Atlanta, Ga, October 19, 1990.
Reprint requests to 180 Park Ave, Portland, ME 04102 (Dr Allan).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Progressive ventricular dilatation (PVD) over the past 22 years
Weissman et al.
Arch. Dis. Child. Fetal Neonatal Ed. 2003;88:F257-F257.
FULL TEXT
|
