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Published in: Child's Nervous System 6/2019

01-06-2019 | Hydrocephalus | Review Article

Intraventricular hemorrhage and posthemorrhagic hydrocephalus in preterm infants: diagnosis, classification, and treatment options

Authors: Paola Valdez Sandoval, Paola Hernández Rosales, Deyanira Gabriela Quiñones Hernández, Eva Alejandra Chavana Naranjo, Victor García Navarro

Published in: Child's Nervous System | Issue 6/2019

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Abstract

Purpose

Intraventricular hemorrhage is the most important adverse neurologic event for preterm and very low weight birth infants in the neonatal period. This pathology can lead to various delays in motor, language, and cognition development. The aim of this article is to give an overview of the knowledge in diagnosis, classification, and treatment options of this pathology.

Method

A systematic review has been made.

Results

The cranial ultrasound can be used to identify the hemorrhage and grade it according to the modified Papile grading system. There is no standardized protocol of intervention as there are controversial results on which of the temporizing neurosurgical procedures is best and about the appropriate parameters to consider a conversion to ventriculoperitoneal shunt. However, it has been established that the most important prognosis factor is the involvement and damage of the white matter.

Conclusion

More evidence is required to create a standardized protocol that can ensure the best possible outcome for these patients.
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Metadata
Title
Intraventricular hemorrhage and posthemorrhagic hydrocephalus in preterm infants: diagnosis, classification, and treatment options
Authors
Paola Valdez Sandoval
Paola Hernández Rosales
Deyanira Gabriela Quiñones Hernández
Eva Alejandra Chavana Naranjo
Victor García Navarro
Publication date
01-06-2019
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 6/2019
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-019-04127-x

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