A Case Report of Neonatal posthemorrhagic hydrocephalus in a premature infant.

Authors

  • Kiran Niraula Consultant Neurosurgeon, ADK Hospital, Maldives
  • Ali Niyaf Consultant Neurosurgeon, ADK Hospital, Maldives
  • Dusooma Abdul Razzag Consultant Anesthesiologist, ADK Hospital, Maldives
  • Manoj Gautam Consultant Pediatrician, ADK Hospital, Maldives
  • Yujan Sapkota Consultant Anesthesiologist, ADK Hospital, Maldives
  • Ansa Mary Jose Medical Student, Lithuanian University of Health Sciences, Lithuania
  • Hawwa Ashfa Consultant Pediatrician, Indira Gandhi Memorial Hospital, Maldives
  • Megha Ghimire Pediatric Resident, King Edward Medical University, Pakistan
  • Mohamed Sajuan Mushrif Medical Student, Lithuanian University of Health Sciences, Lithuania

DOI:

https://doi.org/10.37978/pjsm.v1i3.253

Keywords:

Communicating Hydrocephalus, Extreme prematurity, Intraventicular Hemorrhage, Ventriculo-subgaleal shunt

Abstract

Background: Neurosurgical services in the Maldives began around five years ago, but the first neurosurgical center is responsible for various emergency and clinical neurosurgical services. Published literature on neurosurgery from the Maldives Islands is limited. It is imperative to report unique cases from isolated countries to promote diversity for readers across the globe. Case Presentation: We present a case of a ventriculo-subgaleal shunt placement in an extremely premature male baby with intra-ventricular hemorrhage, causing communicating hydrocephalus born at 22 weeks of gestation weighing 600 grams to a young primigravida. The shunt was performed in the first month of life (780 grams) for communicating hydrocephalus secondary to the germinal matrix bleed into the ventricles. Conclusion: Ventriculo-subgalel shunt under local anesthesia is a promising measure to treat hydrocephalus in pre-term very low birth weight infants secondary to germinal matrix hemorrhage.

Downloads

Download data is not yet available.

References

Kadri H, Mawla AA, Kazah J. The incidence, timing, and predisposing factors of germinal matrix and intraventricular hemorrhage (GMH/IVH) in preterm neonates. Child's Nervous System. 2006;22(9):1086-1090. https://doi.org/10.1007/s00381-006-0050-6

Klebe D, Mcbride D, Krafft PR, Flores JJ, Tang J, Zhang JH. Posthemorrhagic hydrocephalus development after germinal matrix hemorrhage: Established mechanisms and proposed pathways. Journal of Neuroscience Research. 2019;98(1):105-120. doi:https://doi.org/10.1002/jnr.24394

Taeusch HW, Ballard RA, Gleason CA. Developmental Physiology of the Central Nervous System. In: Avery's Diseases of the Newborn. Estados Unidos: Elsevier; 2005.

Kadri H, Mawla AA, Kazah J. The incidence, timing, and predisposing factors of germinal matrix and intraventricular hemorrhage (GMH/IVH) in preterm neonates. Child's Nervous System. 2006;22(9):1086-1090. doi:https://doi.org/10.1002/jnr.24394

Murphy BP, Taylor GA, Anderson NJ, et al. Posthaemorrhagic ventricular dilatation in the premature infant: natural history and predictors of outcome. ADC Fetal & Neonatal Edition. https://fn.bmj.com/content/87/1/F37.long. Published July 1, 2002. Accessed June 13, 2020.

Reece EA, Hobbins JC. Premature birth and neurological complications. In: Reece EA, Hobbins JC. Clinical Obstetrics: the Fetus and Mother. 3rd ed. Oxford: Blackwell; 2006.

Köksal V, Öktem S. Ventriculosubgaleal shunt procedure and its long-term outcomes in premature infants with post-hemorrhagic hydrocephalus. Child's Nervous System. 2010;26(11):1505-1515. doi:10.1007/s00381-010-1118-x.

Shooman D, Portess H, Sparrow O. A review of the current treatment methods for posthaemorrhagic hydrocephalus of infants. Cerebrospinal fluid research. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2642759/. Published January 30, 2009. Accessed June 13, 2020.

Köksal V, Öktem S. Ventriculosubgaleal shunt procedure and its long-term outcomes in premature infants with post-hemorrhagic hydrocephalus. Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2974185/. Published November 2010. Accessed June 13, 2020.

Köksal V, Öktem S. Ventriculosubgaleal shunt procedure and its long-term outcomes in premature infants with post-hemorrhagic hydrocephalus. Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2974185/. Published November 2010. Accessed June 13, 2020.

Robinson S. Neonatal posthemorrhagic hydrocephalus from prematurity: pathophysiology and current treatment concepts. pediatrics. https://thejns.org/pediatrics/view/journals/j-neurosurg-pediatr/9/3/article-p242.xml. Published March 1, 2012. Accessed June 13, 2020.

Eid S, Iwanaga J, Oskouian RJ, Loukas M, Oakes WJ, Tubbs RS. Ventriculosubgaleal shunting—a comprehensive review and over two-decade surgical experience. Child's Nervous System. 2018;34(9):1639-1642. doi:10.1007/s00381-018-3887-6.

Meng-Fai K. Surgical management of intraventricular hemorrhage and posthemorrhagic hydrocephalus in premature infants. Biomedical Journal. https://bit.ly/2YzV359. Published April 21, 2020. Accessed June 13, 2020.

Perlman JM, Cilio MR, Polin RA. Posthemorrhagic Hydrocephalus Management Strategies. In: Neurology: Neonatology Questions and Controversies. Philadelphia, PA: Elsevier;

Published

2020-10-22

How to Cite

Niraula, K. ., Niyaf, A., Abdul Razzag, D. ., Gautam, M. ., Sapkota, Y. ., Jose, A. M. ., Ashfa, H. ., Ghimire, M. ., & Mushrif, M. S. . (2020). A Case Report of Neonatal posthemorrhagic hydrocephalus in a premature infant. Pakistan Journal of Surgery and Medicine, 1(3), e253. https://doi.org/10.37978/pjsm.v1i3.253