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Intraventricular hemorrhage and posthemorrhagic hydrocephalus in preterm infants: diagnosis, classification, and

Paola Valdez Sandoval1, Paola Hernández Rosales1, Deyanira Gabriela Quiñones Hernández1

  • 1Department of Clinical Sciences, Tecnológico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Campus Guadalajara, Avenida General Ramón Corona 2514, Guadalajara, 45138, Mexico.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|April 7, 2019
PubMed

Insights

Intraventricular hemorrhage in preterm infants can cause developmental delays. Current diagnosis uses cranial ultrasound, but standardized treatment protocols are lacking, highlighting the need for more research.

Area of Science:

  • Neonatal Neurology
  • Pediatric Neurosurgery

Background:

  • Intraventricular hemorrhage (IVH) is a critical neurological complication in preterm and very low birth weight infants.
  • IVH can result in significant long-term motor, language, and cognitive developmental impairments.

Purpose of the Study:

  • To provide a comprehensive overview of the current knowledge regarding the diagnosis, classification, and treatment of intraventricular hemorrhage in neonates.

Main Methods:

  • A systematic review of existing literature was conducted.

Main Results:

  • Cranial ultrasound is the primary diagnostic tool for identifying and grading IVH using the modified Papile scale.
  • Intervention protocols remain controversial, with ongoing debate regarding optimal neurosurgical procedures and shunt conversion parameters.
  • White matter damage is identified as the most significant prognostic factor for neurodevelopmental outcomes.

Conclusions:

  • Further research and evidence are necessary to establish standardized treatment protocols for intraventricular hemorrhage.
  • Standardization aims to optimize neurodevelopmental outcomes for affected preterm infants.
Abstract

Keywords:
Intraventricular hemorrhagePosthemorrhagic hydrocephalusVentricular access deviceVentriculoperitoneal shuntVentriculosubgaleal shunt

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