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Successful treatment of perinatal intraventricular haemorrhage
Acta Paediatrica Academiae Scientiarum Hungaricae
|January 1, 1979
Insights
Continuous ventricular drainage effectively prevented brain damage in infants with perinatal intraventricular hemorrhage. This early intervention also prevented hydrocephalus and maintained blood clotting function.
Area of Science:
- Neonatal Neurology
- Pediatric Neurosurgery
- Critical Care Medicine
Background:
- Perinatal intraventricular hemorrhage (IVH) is a serious condition in newborns.
- Intraventricular hemorrhage can lead to severe neurological complications like hydrocephalus and brain damage.
- Managing increased intracranial pressure (ICP) is crucial in affected neonates.
Purpose of the Study:
- To evaluate the efficacy of continuous ventricular drainage in managing perinatal intraventricular hemorrhage.
- To assess the impact of early intervention on preventing hydrocephalus and brain damage.
- To determine the effect of ventricular drainage on coagulation factors and preventing disseminated intravascular coagulation (DIC).
Main Methods:
- Continuous ventricular drainage was implemented in 18 cases of perinatal intraventricular hemorrhage.
- Intracranial pressure (ICP) was monitored and managed.
- Coagulation parameters were assessed to monitor for DIC.
Main Results:
- Continuous ventricular drainage successfully inhibited intracranial pressure (ICP) hypertension.
- Early intervention prevented the development of hydrocephalus, thus avoiding shunt dependence.
- Aspiration of bleeding prevented disseminated intravascular coagulation (DIC) and preserved coagulation factors.
Conclusions:
- Continuous ventricular drainage is an effective treatment for perinatal intraventricular hemorrhage.
- Early application of ventricular drainage can prevent significant neurological sequelae, including hydrocephalus.
- This method aids in maintaining hemostasis and preventing complications like DIC.
Abstract:
In 18 cases of perinatal intraventricular haemorrhage, continuous ventricular drainage was applied. As a result, ICP hypertension was inhibited and thus brain damage prevented. The early intervention prevented the formation of hydrocephalus (evoidence of shunt dependence) and aspiration of the bleeding prevented DIC and maintained coagulation factors.