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

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 know...

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Veröffentlicht in:Child's nervous system 2019-06, Vol.35 (6), p.917-927
Hauptverfasser: Valdez Sandoval, Paola, Hernández Rosales, Paola, Quiñones Hernández, Deyanira Gabriela, Chavana Naranjo, Eva Alejandra, García Navarro, Victor
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container_end_page 927
container_issue 6
container_start_page 917
container_title Child's nervous system
container_volume 35
creator Valdez Sandoval, Paola
Hernández Rosales, Paola
Quiñones Hernández, Deyanira Gabriela
Chavana Naranjo, Eva Alejandra
García Navarro, Victor
description 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.
doi_str_mv 10.1007/s00381-019-04127-x
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subjects Medicine
Medicine & Public Health
Neurosciences
Neurosurgery
Review Article
title Intraventricular hemorrhage and posthemorrhagic hydrocephalus in preterm infants: diagnosis, classification, and treatment options
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