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Multiloculated hydrocephalus in infants

V Albanese, F Tomasello, S Sampaolo

    Neurosurgery
    |June 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Multiloculated hydrocephalus following meningitis in newborns presents severe challenges. Surgical interventions like shunting and fenestration show poor outcomes, indicating a need for improved treatment strategies.

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    Area of Science:

    • Pediatric Neurology
    • Neurosurgery
    • Infectious Diseases

    Background:

    • Neonatal meningitis and ventriculitis can lead to complex hydrocephalus.
    • Multiloculated hydrocephalus presents unique diagnostic and therapeutic challenges in infants.

    Purpose of the Study:

    • To describe the clinical and neuroradiological features of multiloculated hydrocephalus in newborns.
    • To discuss the pathogenesis and evaluate treatment outcomes.

    Main Methods:

    • Case series presentation of five newborn infants.
    • Clinical and neuroradiological assessment including computed tomography and ventriculography.
    • Review of treatment strategies: ventriculoatrial shunting and craniotomy with fenestration.

    Main Results:

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    • Computed tomography aids in diagnosis and monitoring.
    • Ventriculography is crucial for assessing cavity communication.
    • Ventriculoatrial shunting resulted in mortality in 50% of cases and disability in the survivors.
    • Craniotomy with fenestration had one accidental death.

    Conclusions:

    • Multiloculated hydrocephalus post-meningitis has a poor prognosis in neonates.
    • Craniotomy with fenestration of septa shows potential but requires more evidence.
    • Further research is needed to improve management and outcomes.