Posthemorrhagic ventricular dilatation in preterm infants

Leijser, Lara M.; Miller, Steven P.; Wezel‐Meijler, Gerda van; Brouwer, Annemieke J.; Traubici, Jeffrey; Haastert, Ingrid C. van; Whyte, Hilary; Groenendaal, Floris; Kulkarni, Abhaya V.; Han, Kuo Sen; Woerdeman, Peter A.; Church, Paige; Kelly, Edmond; Straaten, H.L.M. van; Ly, Linh; Vries, Linda S. de

doi:10.1212/wnl.0000000000004984

Cited by 102 publications

(68 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Studies into survival rates have shown better ETV survival in young infants (< 6 months of age) with aquaduct stenosis, and worse survival rates in children with MMC, hemorrhage or infection, and different success rates of re-ETVor shunt placement [24][25][26]. These data, not included in our study, should be reported in future studies to compare success rate of surgery and outcome data of our surgical experience with other databases [19,24].…”

Section: Discussionmentioning

confidence: 88%

“…After hemorrhage, a posthemorrhagic ventricular dilatation (PHVD) occurs mostly in preterm born babies, with low birth weight. The subsequent hydrocephalus develops over time and is in the Netherlands preferably initially treated with serial lumbar punctures or serial punctures from a ventricular access device (Ommaya/Rickham reservoir) [19]. This way, an infant is more likely to be > 1 month of age.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Surgical intervention for hydrocephalus in infancy; etiology, age and treatment data in a Dutch cohort

Holwerda

Lindert²,

Buis

et al. 2019

Childs Nerv Syst

View full text Add to dashboard Cite

Purpose To gain insight into the patient characteristics of surgically treated hydrocephalus in the Netherlands, we report the first data from the Dutch Quality Registry NeuroSurgery (QNRS) database for infants with hydrocephalus requiring surgical intervention. Methods We used the prospectively gathered database concerning infants ≤ 2 years of age surgically treated for hydrocephalus. We report data from start of registry, concerning etiology, age, and treatment of patients registered. We compared data with the Hydrocephalus Clinical Research Network (HCRN), a multicenter network of pediatric neurosurgical institutions in North America.Results A total of 359 operated infants was registered in the period from 2010 to 2017. A drop in patients registered was seen in 2015, possibly due to revisions of the database. Most infants were operated on between 1 and 6 months of age. Cause of hydrocephalus was predominantly intracranial hemorrhage, followed by congenital causes. The proportion of infants with aqueduct stenosis and myelomeningocele as cause of hydrocephalus stayed relatively stable during this period of registration. Initial shunting was performed in 40% and reservoir/ETV as initial treatment was done in 60%. In both groups, 50% needed revision surgery. Conclusions The first data concerning surgically treated pediatric hydrocephalus from a prospectively collected Dutch register are presented, showing similar results when comparing to the HCRN database.

show abstract

Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Surgical intervention for hydrocephalus in infancy; etiology, age and treatment data in a Dutch cohort

Holwerda

Lindert²,

Buis

et al. 2019

Childs Nerv Syst

View full text Add to dashboard Cite

show abstract

“…PHVD is typically defined by a VI>97th% (2 SD) for gestational age, AHW > 3–6 mm, or TOD > 24.7 mm [21, 49]. VI and AHW values greater than normal (VI >2 + SD and AHW > 6) have been used as cutoffs for surgical intervention [49].…”

Section: Resultsmentioning

confidence: 99%

“…VI and AHW values greater than normal (VI >2 + SD and AHW > 6) have been used as cutoffs for surgical intervention [49]. Other groups have compared this typical PHVD cutoff to a higher one (VI > 97th percentile + 4 mm and AHW > 10 mm) [22].…”

Section: Resultsmentioning

confidence: 99%

“…Some studies suggest that early treatment of PHVD, before development of symptoms of PHHP, may result in improved developmental outcomes [49]; however, others have shown no significant difference in later outcome in early versus late intervention. Other studies have compared different magnitudes of early treatment thresholds and found no long-term developmental outcome differences [22].…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Preterm neuroimaging and neurodevelopmental outcome: a focus on intraventricular hemorrhage, post-hemorrhagic hydrocephalus, and associated brain injury

Dorner¹,

Burton

Allen

et al. 2018

J Perinatol

View full text Add to dashboard Cite

Intraventricular hemorrhage in the setting of prematurity remains the most common cause of acquired hydrocephalus. Neonates with progressive post-hemorrhagic hydrocephalus are at risk for adverse neurodevelopmental outcomes. The goal of this review is to describe the distinct and often overlapping types of brain injury in the preterm neonate, with a focus on neonatal hydrocephalus, and to connect injury on imaging to neurodevelopmental outcome risk. Head ultrasound and magnetic resonance imaging findings are described separately. The current state of the literature is imprecise and we end the review with recommendations for future radiologic and neurodevelopmental research.

show abstract

Cerebral Hemorrhage in Newborns

Vries

Heep

2018

Neonatology

View full text Add to dashboard Cite

Posthemorrhagic ventricular dilatation in preterm infants

Abstract: This study provides Class III evidence that for preterm infants with PHVD, an EA to management results in better neurodevelopmental outcomes than a LA.

Cited by 102 publications

References 38 publications

Surgical intervention for hydrocephalus in infancy; etiology, age and treatment data in a Dutch cohort

Surgical intervention for hydrocephalus in infancy; etiology, age and treatment data in a Dutch cohort

Preterm neuroimaging and neurodevelopmental outcome: a focus on intraventricular hemorrhage, post-hemorrhagic hydrocephalus, and associated brain injury

Cerebral Hemorrhage in Newborns

Contact Info

Product

Resources

About