Posthemorrhagic hydrocephalus in preterm infants: long-term follow-up and shunt-related complications

Reinprecht, Andrea; Dietrich, Wolfgang; Berger, Angelika; Bavinzski, Gerhard; Weninger, M.; Czech, Thomas

doi:10.1007/s00381-001-0519-2

Cited by 84 publications

(59 citation statements)

References 30 publications

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“…The studies involving children with a diagnosis of hydrocephalus are mostly series of retrospective case and they consider different etiologies as a unique group [13][14][15].…”

Section: Discussionmentioning

confidence: 99%

Visual acuity evaluation in children with hydrocephalus: An electrophysiological study with sweep visual evoked potential

Pereira¹,

Costa²

2012

WJNS

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The objective was to measure the visual acuity (VA) of children with the diagnosis of hydrocephalus with or without peritoneal-ventricular shunt (PVS). A total of 55 children were included in the study (34 Female), with an age range of 0 to 291 weeks. The VA was measured by the sweep visual evoked potential technique. Of those with a PVS, in 31 the ventricular valve was inserted before 15 days after the diagnosis whereas in 14 the ventricular valve was inserted after 15 days. The sweep VEP was performed in all children, 95 exams (94%) were abnormal and only 6 were normal. There was a statistical difference in the VA between children with a PVS inserted before 15 days of the diagnosis and children with a PVS after 15 days (p = 0.038) or those without a shunt (p = 0.031). Children with no complications of the PVS had a better VA as compared to those with shunt complications (p < 0.001). In the group of children with complications, again those who had a shunt inserted before 15 days had better VA results in comparison to those in whom the shunt was inserted after 15 days (p = 0.029). No statistical difference in the VA was found between children without the PVS and with those in which the shunt was inserted after 15 days of the diagnosis of hydrocephalus (p = 0.699). We conclude that the delayed insertion of the PVS may compromise the visual development of these children.

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“…The studies involving children with a diagnosis of hydrocephalus are mostly series of retrospective case and they consider different etiologies as a unique group [13][14][15].…”

Section: Discussionmentioning

confidence: 99%

Visual acuity evaluation in children with hydrocephalus: An electrophysiological study with sweep visual evoked potential

Pereira¹,

Costa²

2012

WJNS

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“…The authors also reported that survival differences in infants occurred within the first few months after surgery, which is consistent with our results and those of other studies in which a failure rate of 48%-58% within the first year is described. 8,14,23,36,42,45 This is also emphasized by Reinprecht et al, 41 who reported results from a cohort of 42 preterm infants with posthemorrhagic hydrocephalus and shunt implantation. They noted occlusion of the distal catheter as the primary cause for revision, which occurred mainly during the first few months.…”

Section: Discussionmentioning

confidence: 65%

Long-term survival rates of gravity-assisted, adjustable differential pressure valves in infants with hydrocephalus

Gebert

Schulz

Schwarz

et al. 2016

PED

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OBJECTIVE The use of adjustable differential pressure valves with gravity-assisted units in shunt therapy of children with hydrocephalus was reported to be feasible and promising as a way to avoid chronic overdrainage. In this single-center study, the authors' experiences in infants, who have higher rates of shunt complications, are presented. METHODS All data were collected from a cohort of infants (93 patients [37 girls and 56 boys], less than 1 year of age [mean age 4.1 ± 3.1 months]) who received their first adjustable pressure hydrocephalus shunt as either a primary or secondary implant between May 2007 and April 2012. Rates of valve and shunt failure were recorded for a total of 85 months until the end of the observation period in May 2014. RESULTS During a follow-up of 54.2 ± 15.9 months (range 26–85 months), the Kaplan-Meier rate of shunt survival was 69.2% at 1 year and 34.1% at 85 months; the Kaplan-Meier rate of valve survival was 77.8% at 1 year and 56% at 85 months. Survival rates of the shunt were significantly inferior if the patients had previous shunt surgery. During follow-up, 44 valves were exchanged in cases of infection (n = 19), occlusion (n = 14), dysfunction of the adjustment unit (n = 10), or to change the gravitational unit (n = 1). CONCLUSIONS Although a higher shunt complication rate is observed in infant populations compared with older children, reasonable survival rates demonstrate the feasibility of using this sophisticated valve technology. The gravitational unit of this valve is well tolerated and its adjustability offers the flexible application of opening pressure in an unpredictable cohort of patients. This may adequately address overdrainage-related complications from early in treatment.

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“…They have not prescribed any therapy during 42 days for protection of white matter. But in massive IVH a very rapid clinical changes are possible and also the rapid development of hydrocephalus, and in these situations an early VPS is recommended (19,20,36,41,55). Levi and colleagues had 83% obstruction of shunt in preterm infants with PHH(in 83% of cases).…”

Section: Resultsmentioning

confidence: 99%

Surgical treatment problems of hydrocephalus caused by spontaneus intraventricular hemorrhage in prematurely born children

Mihajlovic

Bogosavljevic²,

Nikolić³

et al. 2013

Turkish Neurosurgery

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AIm:The aim of this study was to identify the most appropriate method of surgical treatment of hydrocephalus in preterm infants that is caused by spontaneous intraventricular hemorrhage (IVH) and to identify predictive factors of poor perioperative outcomes. mAteRIAl and methods:We present a series of 60 patients with IVH and hydrocephalus, to whom a VP shunt or subcutaneous (Omaya) reservoir was placed, during the period from March 2006 to March 2011. Results ConClusIon:The outcome of hydrocephalus caused by IVH in premature born children is the worst in perinatology. Our results suggest that the main predictive factor is preoperative condition of the child and that the VP shunt and Omaya reservoir are complementary methods of surgical treatment. sonuÇ: Prematüre çocuklarda intraventriküler kanama nedeniyle oluşan hidrosefalinin sonuçları perinatoloji hastalıkları arasında en kötülerinden biridir. Sonuçlarımız ana prediktif faktörün çocuğun preoperatif durumu olduğunu ve VP şant ve Omaya rezervuarının tamamlayıcı cerrahi tedavi yöntemleri olduğunu göstermektedir.

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Posthemorrhagic hydrocephalus in preterm infants: long-term follow-up and shunt-related complications

Abstract: The neurological outcome was not related to the necessity for or to complications of a shunt. Programmable valve systems and neuroendoscopy appear to be helpful in the overall management and in the treatment of complications.

Cited by 84 publications

References 30 publications

Visual acuity evaluation in children with hydrocephalus: An electrophysiological study with sweep visual evoked potential

Visual acuity evaluation in children with hydrocephalus: An electrophysiological study with sweep visual evoked potential

Long-term survival rates of gravity-assisted, adjustable differential pressure valves in infants with hydrocephalus

Surgical treatment problems of hydrocephalus caused by spontaneus intraventricular hemorrhage in prematurely born children

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