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Related Experiment Videos

Posthemorrhagic hydrocephalus.

P J Holt1

  • 1Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia 30322.

Journal of Child Neurology
|January 1, 1989
PubMed
Summary
This summary is machine-generated.

Post hemorrhagic hydrocephalus (PHH), a complication of neonatal intraventricular hemorrhage (IVH), requires objective grading. New cranial ultrasound measurements offer precise assessment of ventricular enlargement for potential treatment guidance.

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See all related articles

Area of Science:

  • Neonatal Neurology
  • Pediatric Radiology
  • Neurocritical Care

Background:

  • Post hemorrhagic hydrocephalus (PHH) is a significant complication following neonatal intraventricular hemorrhage (IVH).
  • Existing grading systems for IVH do not adequately quantify the secondary ventricular dilation characteristic of PHH.
  • Objective measurement methods are needed to standardize the assessment of PHH and guide clinical management.

Purpose of the Study:

  • To present standardized cranial ultrasound techniques for objectively grading ventricular enlargement in PHH.
  • To introduce specific measurement methods for assessing ventricular size and cortical mantle thickness.
  • To review clinical features and treatment options for PHH and discuss the need for improved neuroimaging assessment.

Main Methods:

Related Experiment Videos

  • Utilized cranial ultrasound to develop objective grading conventions for ventricular enlargement.
  • Introduced specific measurements: biventricular to biparietal ratio (BV:BD) in coronal images, ventricular diameter (VD) in sagittal images, and cortical mantle thickness in axial images.
  • Reviewed clinical features and treatment modalities for PHH.

Main Results:

  • Proposed standardized ultrasound measurements (BV:BD, VD, cortical mantle thickness) for precise PHH assessment.
  • These measurements allow for more accurate identification of changes in ventricular size with potential treatment implications.
  • Current treatment modalities for PHH have not demonstrated superiority, and neurologic outcomes do not consistently correlate with PHH development or resolution.

Conclusions:

  • Standardized ultrasound measurements can objectively grade ventricular enlargement in PHH.
  • Improved neuroimaging techniques are crucial for fully understanding the significance of IVH and PHH.
  • Further research is needed to better describe parenchymal damage and assess parenchymal function in neonates with IVH/PHH.