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Child's Nervous System

Published in:

01-08-2003 | Original Paper

In utero surgery for hydrocephalus

Authors: Cornelia S. von Koch, Nalin Gupta, Leslie N. Sutton, Peter P. Sun

Published in: Child's Nervous System | Issue 7-8/2003

Abstract

Introduction

Neonatal hydrocephalus is one of the most common congenital anomalies affecting the nervous system.

Discussion

Currently, ultrasonography allows for early detection of fetal ventriculomegaly and presents the family with several treatment options: termination of pregnancy, early delivery and neonatal shunting, and delivery at term followed by shunting. Despite ventricular decompression after birth, the cognitive outcome is variable as prolonged in utero hydrocephalus has a detrimental effect. In the early 1980s, fetal intervention was explored with the intention of improving outcome. However, patient selection was poor. Fetal ventriculomegaly from other conditions was not adequately distinguished from fetal hydrocephalus. In addition, fetal surgical techniques were not advanced. Consequently, the results were poor and a de facto moratorium on fetal shunting was imposed. However, recent improvements in fetal imaging, such as magnetic resonance imaging, and advances in fetal surgical techniques offer the possibility that properly selected fetuses with hydrocephalus can benefit from an in utero intervention.

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Title: In utero surgery for hydrocephalus
Authors: Cornelia S. von Koch
Nalin Gupta
Leslie N. Sutton
Peter P. Sun
Publication date: 01-08-2003
Publisher: Springer-Verlag
Published in: Child's Nervous System / Issue 7-8/2003
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-003-0775-4

At a glance: The STEP trials

Springer Medicine

In utero surgery for hydrocephalus

Abstract

Introduction

Discussion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Discussion

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