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  • Title: Cerebrospinal fluid drainage options for posthemorrhagic hydrocephalus in premature neonates.
    Author: Melo JRT, Passos RK, Carvalho MLCM.
    Journal: Arq Neuropsiquiatr; 2017 Jul; 75(7):433-438. PubMed ID: 28746429.
    Abstract:
    OBJECTIVE: The literature describes various cerebrospinal fluid (CSF) drainage techniques to alleviate posthemorrhagic hydrocephalus in preterm newborns; however, consensus has not been reached. The scope of this study was describing a case series of premature neonates with posthemorrhagic hydrocephalus and assessing the outcomes of different approaches used for CSF diversion. METHODS: A consecutive review of the medical records of neonates with posthemorrhagic hydrocephalus treated with CSF drainage was conducted. RESULTS: Forty premature neonates were included. Serial lumbar puncture, ventriculosubgaleal shunt, and ventriculoperitoneal shunt were the treatments of choice in 25%, 37.5% and 37.5% of the cases, respectively. CONCLUSION: Cerebrospinal fluid diversion should be tailored to each case with preference given to temporary CSF drainage in neonates with lower age and lower birth-weight, while the permanent ventriculoperitoneal shunt should be considered in healthier, higher birth-weight neonates born closer to term.
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