• Childs Nerv Syst · Mar 2011

    Case Reports

    Neuroendoscopic fenestration of the foramen of Monro without septostomy for unilateral hydrocephalus following neonatal intraventricular hemorrhage.

    • Hyoung-Joon Chun, Youngjoon Lee, Hyun-Kyung Park, and Young Soo Kim.
    • Department of Neurosurgery, Hanyang University Medical Center, 17 Haengdang-dong, Sungdong-gu, Seoul 133-792, South Korea.
    • Childs Nerv Syst. 2011 Mar 1; 27 (3): 473-8.

    PurposeUnilateral hydrocephalus is a rare type of hydrocephalus caused by germinal matrix hemorrhage-intraventricular hemorrhage (GMH-IVH) in preterm infants. We present a case of posthemorrhagic unilateral hydrocephalus in a preterm infant that was successfully treated with neuroendoscopic fenestration of the foramen of Monro without septostomy.Case ReportBrain ultrasound of a female infant born at 26(+1) weeks gestation revealed delayed unilateral hydrocephalus in the frontal horn of the lateral ventricle after IVH. In this case, unilateral hydrocephalus appeared to be caused by chronic inflammatory changes, leading to membrane formation in the foramen of Monro. After neuroendoscopic foraminoplasty without septostomy, ventricular size decreased, and the patient's neurological status improved per the PREMIE-NEURO exam, a neurologic examination for preterm infants of gestational age 23-37 weeks.ConclusionsThis case demonstrates that simple repermeation of the foramen without fenestration of the septum pellucidum can successfully treat membrane-induced unilateral hydrocephalus. Also, because hydrocephalus can develop even after stabilization of GMH-IVH, close follow-up during the first year of life and beyond may reduce the likelihood of brain damage due to advanced hydrocephalus.© Springer-Verlag 2010

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…