Treatment of post-haemorrhage ventricular dilatation with an Ommaya's reservoir: management and outcome of 64 preterm infants

2001 ◽  
Vol 17 (6) ◽  
pp. 334-340 ◽  
Author(s):  
Richard E. ◽  
Cinalli G. ◽  
Assis D. ◽  
Pierre-Kahn A. ◽  
Lacaze-Masmonteil T.
Keyword(s):  
Preterm Infants ◽  
Reservoir Management ◽  
Ventricular Dilatation

Ventricular dilatation in preterm infants

1993 ◽  
Vol 9 (6) ◽  
pp. 498
Author(s):  
Alan Leviton ◽  
Karl Kuban
Keyword(s):  
Preterm Infants ◽  
Ventricular Dilatation

scholarly journals Posthemorrhagic ventricular dilatation in preterm infants

Neurology ◽  
2018 ◽  
Vol 90 (8) ◽  
pp. e698-e706 ◽  
Author(s):  
Lara M. Leijser ◽  
Steven P. Miller ◽  
Gerda van Wezel-Meijler ◽  
Annemieke J. Brouwer ◽  
Jeffrey Traubici ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Ventricular Dilatation ◽  
Cranial Ultrasound ◽  
Class Iii ◽  
Neurodevelopmental Outcomes ◽  
Initial Intervention ◽  
Postmenstrual Age ◽  
Observational Cohort ◽  
Potential Risks ◽  
Clinical Measures

ObjectiveTo compare neurodevelopmental outcomes of preterm infants with and without intervention for posthemorrhagic ventricular dilatation (PHVD) managed with an “early approach” (EA), based on ventricular measurements exceeding normal (ventricular index [VI] <+2 SD/anterior horn width <6 mm) with initial temporizing procedures, followed, if needed, by permanent shunt placement, and a “late approach” (LA), based on signs of increased intracranial pressure with mostly immediate permanent intervention.MethodsObservational cohort study of 127 preterm infants (gestation <30 weeks) with PHVD managed with EA (n = 78) or LA (n = 49). Ventricular size was measured on cranial ultrasound. Outcome was assessed at 18–24 months.ResultsForty-nine of 78 (63%) EA and 24 of 49 (49%) LA infants received intervention. LA infants were slightly younger at birth, but did not differ from EA infants for other clinical measures. Initial intervention in the EA group occurred at younger age (29.4/33.1 week postmenstrual age; p < 0.001) with smaller ventricles (VI 2.4/14 mm >+2 SD; p < 0.01), and consisted predominantly of lumbar punctures or reservoir taps. Maximum VI in infants with/without intervention was similar in EA (3/1.5 mm >+2 SD; p = 0.3) but differed in the LA group (14/2.1 mm >+2 SD; p < 0.001). Shunt rate (20/92%; p < 0.001) and complications were lower in EA than LA group. Most EA infants had normal outcomes (>−1 SD), despite intervention. LA infants with intervention had poorer outcomes than those without (p < 0.003), with scores <−2 SD in 81%.ConclusionIn preterm infants with PHVD, those with early intervention, even when eventually requiring a shunt, had outcomes indistinguishable from those without intervention, all being within the normal range. In contrast, in infants managed with LA, need for intervention predicted worse outcomes. Benefits of EA appear to outweigh potential risks.Classification of evidenceThis study provides Class III evidence that for preterm infants with PHVD, an EA to management results in better neurodevelopmental outcomes than a LA.

Decompressing posthaemorrhagic ventricular dilatation significantly improves regional cerebral oxygen saturation in preterm infants

2015 ◽  
Vol 104 (7) ◽  
pp. 663-669 ◽  
Author(s):  
F Norooz ◽  
B Urlesberger ◽  
V Giordano ◽  
K Klebermasz-Schrehof ◽  
M Weninger ◽  
...  
Keyword(s):  
Oxygen Saturation ◽  
Preterm Infants ◽  
Cerebral Oxygen Saturation ◽  
Ventricular Dilatation ◽  
Cerebral Oxygen ◽  
Regional Cerebral Oxygen Saturation

Impaired brain growth and neurodevelopment in preterm infants with posthaemorrhagic ventricular dilatation

2012 ◽  
Vol 101 (7) ◽  
pp. 743-748 ◽  
Author(s):  
Sally Jary ◽  
Agnese De Carli ◽  
Luca A Ramenghi ◽  
Andrew Whitelaw
Keyword(s):  
Preterm Infants ◽  
Ventricular Dilatation ◽  
Brain Growth

Developmental Outcome of Very Low Birth Weight Infants with Intraventricular Hemorrhage

1993 ◽  
Vol 77 (3) ◽  
pp. 894-894 ◽  
Author(s):  
Anna J. Whitehead
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Preterm Infants ◽  
Intraventricular Hemorrhage ◽  
Poor Prognosis ◽  
Very Low Birth Weight ◽  
Ventricular Dilatation ◽  
Developmental Outcome ◽  
Low Birth Weight Infants

Analyses of data from 20 infants confirmed that ventricular dilatation in VLBW preterm infants carries poor prognosis for development, but not IVH alone.

Ultrasound lineal measurements predict ventricular volume in posthaemorrhagic ventricular dilatation in preterm infants

2016 ◽  
Vol 106 (2) ◽  
pp. 211-217 ◽  
Author(s):  
Isabel Benavente‐Fernandez ◽  
Manuel Lubián‐Gutierrez ◽  
Gema Jimenez‐Gomez ◽  
Alfonso M. Lechuga‐Sancho ◽  
Simon P. Lubián‐López ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Ventricular Volume ◽  
Ventricular Dilatation
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