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Modern Aspects of Post-haemorrhagic Hydrocephalus in Infants: Current Challenges and Prospects

Assem Shakeyeva1, Vassiliy Lozovoy1, Vassiliy Kuzmin1

  • 1Department of Pediatric Surgery, Astana Medical University, Astana, Republic of Kazakhstan.

Korean Journal of Neurotrauma
|February 19, 2025
PubMed

Insights

This review examines post-hemorrhagic hydrocephalus (PHH) in preterm infants, highlighting advanced diagnostics and treatments like neuroendoscopic lavage to improve outcomes and reduce complications. Further research is needed for less invasive methods and long-term results.

Area of Science:

  • Neonatal Neurology
  • Pediatric Neurosurgery
  • Developmental Pediatrics

Background:

  • Post-hemorrhagic hydrocephalus (PHH) is a significant complication in preterm infants following intraventricular hemorrhage (IVH).
  • Effective management is crucial to mitigate long-term neurological deficits and enhance quality of life.
  • Current approaches face challenges in balancing efficacy with invasiveness.

Purpose of the Study:

  • To assess and discuss current diagnostic and treatment strategies for PHH in preterm neonates.
  • To identify areas for improvement in managing IVH-related hydrocephalus.
  • To provide insights for optimizing patient care and long-term outcomes.

Main Methods:

  • A multilevel literature review of contemporary studies on IVH and PHH in preterm neonates.
  • Searches conducted across PubMed, Scopus, and Web of Science databases.
  • Strict selection criteria and double independent assessments were applied.

Main Results:

  • Advanced neuroimaging is vital for accurate PHH diagnosis.
  • Neuroendoscopic lavage shows potential in reducing shunt dependency and infection risk.
  • Combined temporary and permanent drainage techniques demonstrate efficacy.

Conclusions:

  • PHH management in preterm infants is complex, requiring diverse diagnostic and therapeutic approaches.
  • Further research is essential for long-term outcome evaluation and developing less invasive treatments.
  • This review aids healthcare professionals in timely decision-making to reduce complications and improve prognoses.

Keywords:
Innovative therapiesIntracranial pressureMedical researchSurgeryTreatment outcome

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