Infantile posthemorrhagic hydrocephalus

Tsitouras, Vasilios; Sgouros, Spyros

doi:10.1007/s00381-011-1521-y

Cited by 46 publications

(17 citation statements)

References 125 publications

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“…Interestingly, this study demonstrated that the lower grades of IVH (Grades 1 and 2) are associated with a very low risk (no observed cases in this cohort) of developing PHH and requiring shunt surgery, in contrast to previous reports, which showed risks as high as a 5% and 20% for developing PHH for IVH Grade 1 and Grade 2, respectively. 9,17 This could be due to referral bias in other studies, as they are not population based. The centers reporting IVH and PHH risks in previously published studies may have been referred only the sickest IVH patients, which may have suggested a disproportionately high risk of hydrocephalus in Grade 2 IVH infants.…”

Section: Discussionmentioning

confidence: 99%

Temporal trends of intraventricular hemorrhage of prematurity in Nova Scotia from 1993 to 2012

Radic¹,

Vincer

McNeely³

2015

PED

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OBJECT Intraventicular hemorrhage (IVH) and posthemorrhagic hydrocephalus (PHH) are common in premature newborns. The epidemiology of these conditions has been described, but selection bias remains a significant concern in many studies. The goal of this study was to review temporal trends in the incidence of IVH, PHH, and shunt surgery in a population-based cohort of very preterm infants with no selection bias. METHODS All very preterm infants (gestational age ≥ 20 and ≤ 30 weeks) born from 1993 onward to residents of Nova Scotia were evaluated by the IWK Health Centre's Perinatal Follow-Up Program, and were entered in a database. Infants born to residents of Nova Scotia from January 1, 1993, to December 31, 2012, were included in this study. The incidences of IVH, PHH, and shunt surgery were calculated, basic demographic information was described, and chi-square test for trends over time was determined. RESULTS Of 1334 successfully resuscitated very preterm infants who survived to their initial screening ultrasound, 407 (31%) had an IVH, and 149 (11%) had an IVH Grade 3 or 4. No patients with IVH Grade 1 or 2 developed PHH. The percentage of very preterm infants with IVH Grade 3 or 4 has significantly increased over time (p = 0.013), as have the incidence of PHH and shunt surgery (p = 0.001 and p = 0.011, respectively) in infants with Grade 3 or 4 IVH. The proportion of patients with PHH receiving a shunt has not changed over time (p = 0.813). CONCLUSIONS The increasing incidence of high-grade IVH—and PHH and shunt surgery in infants with high-grade IVH—over time is worrisome. This study identifies a number of associated factors, but further research to identify preventable and treatable causal factors is warranted.

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Section: Discussionmentioning

confidence: 99%

Temporal trends of intraventricular hemorrhage of prematurity in Nova Scotia from 1993 to 2012

Radic¹,

Vincer

McNeely³

2015

PED

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“…ranging from 0% to 50% (7,17,23). Moreover permanent shunt placement following external ventricular drainage treatment is still very common (6,15,23).…”

Section: █ Conclusionmentioning

confidence: 99%

Early endoscopic ventricular irrigation for the treatment of neonatal posthemorrhagic hydrocephalus. a feasible treatment option or not ? -a multi center report-

Etüş

Kahiloğulları²,

Karabağlı³

et al. 2016

Turkish Neurosurgery

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“…Hydrocephalus in newborns is commonly due to intracranial hemorrhage that results in cerebrospinal fluid malabsorption [1]. It is currently one of the most common birth defects, affecting between 26 and 80% of infants with intracranial hemorrhage [1].…”

Section: Introductionmentioning

confidence: 99%

Parent Ratings of Executive Functioning in Children with Shunted Hydrocephalus

et al. 2012

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Objectives: The present study examined the executive functioning of a group of children with a history of communicating hydrocephalus and how their level of functioning was correlated with parent ratings of executive functioning. Methods: The study examined the executive functioning of 39 shunted children with a history of hydrocephalus and 20 healthy peers. Additionally, parents of both groups of children completed the Behavior Rating Inventory of Executive Function (BRIEF) to assess the parents’ perceptions of their children’s executive functioning. Finally, the study investigated the relationship between the shunted hydrocephalus children’s executive functioning and the parent ratings of their executive functioning. Results: Overall, the children with a history of shunted hydrocephalus displayed more executive dysfunction than their healthy peers. These children were rated by their parents as having more executive dysfunction than their healthy peers and displaying working memory, initiation, mental flexibility and self-monitoring difficulties, which appear to increase with age among the shunted hydrocephalus group. While parent ratings as measured by the BRIEF indices did not correlate with all executive tasks within the shunted hydrocephalus group, the cognitive tests assessing mental flexibility may be sensitive to the problems noted by parents at home. Conclusions: The children with a history of shunted hydrocephalus displayed executive functioning deficits on formal examination. The parents of children with a history of shunted hydrocephalus report ongoing executive difficulties which may increase with age.

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Infantile posthemorrhagic hydrocephalus

Cited by 46 publications

References 125 publications

Temporal trends of intraventricular hemorrhage of prematurity in Nova Scotia from 1993 to 2012

Temporal trends of intraventricular hemorrhage of prematurity in Nova Scotia from 1993 to 2012

Early endoscopic ventricular irrigation for the treatment of neonatal posthemorrhagic hydrocephalus. a feasible treatment option or not ? -a multi center report-

Parent Ratings of Executive Functioning in Children with Shunted Hydrocephalus

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