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Occluded fourth ventricle after multiple shunt revisions for hydrocephalus
1Department of Neurology, Stritch School of Medicine, Loyola University of Chicago, Maywood, IL 60153.
Pediatrics
|June 1, 1989
Summary
Trapped occluded fourth ventricle, though rare, can occur after intraventricular hemorrhage and shunt revisions. Early recognition and shunting are crucial for improving neurological function in affected infants.
Area of Science:
- Pediatric Neurosurgery
- Neurology
- Neonatal Medicine
Background:
- Trapped occluded fourth ventricle is a rare complication.
- Intraventricular hemorrhage and repeated shunt revisions increase risk.
- Premature infants with hydrocephalus may have pre-existing neurological issues.
Purpose of the Study:
- To highlight the occurrence of trapped occluded fourth ventricle.
- To emphasize the importance of recognizing this condition.
- To stress the benefits of shunting for functional improvement.
Main Methods:
- Review of cases with intraventricular hemorrhage and hydrocephalus.
- Analysis of patients undergoing shunt revisions.
- Clinical assessment of neurological function before and after shunting.
Main Results:
- 8 out of 47 cases involved intraventricular hemorrhage with shunt revisions.
- Shunting improved neurological function in currently treated patients.
- 13 out of 14 previously treated patients showed improved function after shunting.
Conclusions:
- Recognition of trapped occluded fourth ventricle is critical.
- Shunting can significantly improve neurological function in affected infants.
- Prompt intervention is necessary to prevent further neurological damage.