title: Management of post-haemorrhagic hydrocephalus in premature infants.
abstract: Post-haemorrhagic hydrocephalus (PHH) is the most common neurological complication of preterm birth and can result in severe and life-long psychomotor and cognitive sequelae. Cerebrospinal fluid diversion is often required but the optimum time for intervention is unclear. Numerous neurosurgical procedures exist to temporise PHH but it is not clear which is the optimum method. Approximately 15% of preterm infants who suffer intraventricular haemorrhage (IVH) will require permanent cerebrospinal fluid diversion with a ventriculoperitoneal shunt. It is likely that earlier intervention may result in reduced neurological disability and ventriculoperitoneal shunt dependency. In this review we discuss the current methods of PHH management.
authors.affiliation: Neurosurgery Department, Alder Hey Children's NHS Foundation Trust, Eaton Road, Liverpool L12 2AP, United Kingdom. Electronic address: jellenbogen@doctors.org.uk.
authors.forename: Jonathan R
authors.initials: JR
authors.lastname: Ellenbogen
authors.affiliation: Division of Neurosciences, Salford Royal NHS Foundation Trust, Salford M6 8HD, Manchester, United Kingdom.
authors.forename: Mueez
authors.initials: M
authors.lastname: Waqar
authors.affiliation: Neurosurgery Department, Alder Hey Children's NHS Foundation Trust, Eaton Road, Liverpool L12 2AP, United Kingdom.
authors.forename: Benedetta
authors.initials: B
authors.lastname: Pettorini
mesh_terms: D002552:Cerebral Ventricles; D006801:Humans; D006849:Hydrocephalus / Q000453:epidemiology / Q000628:therapy*; D007223:Infant; D007231:Infant, Newborn; D007234:Infant, Premature; D020300:Intracranial Hemorrhages / Q000150:complications* / Q000453:epidemiology; D017287:Ventriculoperitoneal Shunt
keywords: Hydrocephalus; Infants; Intraventricular haemorrhage; Post-haemorrhagic hydrocephalus; Ventriculo-peritoneal shunt