Abstract
Six preterm infants who developed disproportionate enlargement of the 4th ventricle during the neonatal period, associated with post-haemorrhagic ventricular dilatation (PHVD), before shunt placement are reported. Five of the six preterm infants developed cyanotic spells and/or bradycardias at the time of rapid enlargement of the 4th ventricle, suggestive of raised posterior fossa pressure, which resolved following insertion of and drainage from a subcutaneous reservoir. In one of the three survivors an isolated 4th ventricle was subsequently diagnosed later in infancy, requiring drainage. These data suggest that a combination of an enlarged 4th ventricle on ultrasound and cyanotic spells and/or bradycardias should lead to rapid release of raised pressure in the posterior fossa. Long-term follow-up of these children is necessary, as isolation of the 4th ventricle can subsequently develop
Original language | English |
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Pages (from-to) | 1193-1196 |
Number of pages | 4 |
Journal | Acta paediatrica (Oslo, Norway |
Volume | 84 |
Issue number | 10 |
DOIs | |
Publication status | Published - Oct 1995 |
Keywords
- Cerebral Hemorrhage/complications
- Cerebral Ventricles/diagnostic imaging
- Dilatation, Pathologic/diagnosis
- Fatal Outcome
- Female
- Humans
- Infant, Newborn
- Infant, Premature
- Infant, Premature, Diseases
- Magnetic Resonance Imaging
- Male
- Persistent Fetal Circulation Syndrome/complications
- Pneumonia/complications
- Respiratory Distress Syndrome, Newborn/complications
- Ultrasonography
- Ventriculoperitoneal Shunt