New insights into the management of post- hemorrhagic hydrocephalus

被引：22

作者：

Limbrick, David D., Jr. ^{[1
,2
,3
]}

de Vries, Linda S. ^{[4
,5
]}

机构：

[1] Washington Univ Sch Med, T S Pk Chair & Chief Pediat Neurosurg, St Louis, MO 63110 USA

[2] Washington Univ Sch Med, Execut Vice Chair Neurol Surg, St Louis, MO 63110 USA

[3] St Louis Childrens Hosp, St Louis, MO 63110 USA

[4] Univ Med Ctr Utrecht, Dept Neonatol, Em Prof Neonatal Neurol, Utrecht, Netherlands

[5] Leiden Univ Med Ctr, Leiden, Netherlands

来源：

SEMINARS IN PERINATOLOGY | 2022年 / 46卷 / 05期

关键词：

POSTHEMORRHAGIC VENTRICULAR DILATATION; ENDOSCOPIC 3RD VENTRICULOSTOMY; CHOROID-PLEXUS CAUTERIZATION; INTRAVENTRICULAR HEMORRHAGE; PRETERM INFANTS; PREMATURE-INFANTS; FIBRINOLYTIC THERAPY; REFERENCE VALUES; DRAINAGE; RELIABILITY;

D O I：

10.1016/j.semperi.2022.151597

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

During the last decade, an increasing number of studies have been conducted to improve the outcome of post-hemorrhagic hydrocephalus (PHH), a complication of severe intraven-tricular hemorrhage (IVH) in preterm infants. Two randomized controlled trials have shown that treatment should be initiated prior to the onset of clinical symptoms. Ventricu-lar access devices and subgaleal shunts are used as temporary neurosurgical interventions whereas ventriculoperitoneal shunts are performed for infants with progressive hydro-cephalus. Recently, techniques such as neuro-endoscopic lavage have also been introduced to eliminate toxic blood products and debris from the cerebral ventricles and have shown promise in early clinical studies. The objective of this review is to provide an update on management of PHVD and PHH in the preterm infant.(c) 2022 Published by Elsevier Inc.

引用

页数：8

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