title: [Ventriculo subgaleal shunt in hydrocephalus secondary to intraventricular hemorrhage in prematures].
abstract: BACKGROUND
  Intraventricular hemorrhage (IVH) is one of the most serious complications in premature lightweight. While in the decade of 1970-1980 the incidence was 40-50%, now it is at least 20%. But it presents a challenge because of the multiple existing therapies and the results in terms of neurological sequelae.
  
  
  METHODS
  We performed a retrospective review of 48 patients managed with ventriculo subgaleal shunt and a therapeutic decision based on gestational age, weight, and grade of intraventricular hemorrhage.
  
  
  RESULTS
  Of the patients, 29 (60%) of the cases were female and 19 (40%) were male. The average gestation age for placing the subgaleal system was 30 months, with an average weight of 1,511 g, and with an infection rate of 4%. In 44 cases peritoneal system was placed (92%) because four died (8%). No mortality was observed at surgery.
  
  
  CONCLUSIONS
  Mortality in the past appeared in 75% of patients, with the realization that derivation of subgaleal irrigation reduces infections besides allowing proper control of hydrocephalus and thus decreases the long-term neurological sequelae.
authors: Servicio de Neurocirugía Pediátrica, Hospital General La Raza Dr. Gaudencio González, México, D.F.
authors: Antonio
authors: A
authors: García-Méndez
authors: Servicio de Neurocirugía Pediátrica, Hospital General La Raza Dr. Gaudencio González, México, D.F.
authors: Leonardo
authors: L
authors: Álvarez-Vázquez
authors: Servicio de Neurocirugía Pediátrica, Hospital General La Raza Dr. Gaudencio González, México, D.F.
authors: Fernando
authors: F
authors: Agustín-Aguilar
authors: Servicio de Neurocirugía Pediátrica, Hospital General La Raza Dr. Gaudencio González, México, D.F.
authors: Griselda
authors: G
authors: Collado-Arce
authors: Servicio de Neurocirugía Pediátrica, Hospital General La Raza Dr. Gaudencio González, México, D.F.
authors: Carlos
authors: C
authors: Sánchez-Olivera