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Updated: Aug 4, 2026

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
Rapid decompression of congenital hydrocephalus associated with parenchymal hemorrhage
1Department of Pediatrics, Eastern Virginia Medical School, Norfolk, USA.
Abstract:
A newborn boy with congenital hydrocephalus was diagnosed with aqueductal stenosis using magnetic resonance imaging. Low-resistance ventriculoperitoneal shunt placement was followed by clinical deterioration. Repeat imaging studies revealed a collapsed cortical mantle with subdural hemorrhage. In addition to subdural blood, often associated with marked cerebral conformational changes, extensive intraparenchymal hemorrhage was seen. For extreme congenital hydrocephalus, ventriculoperitoneal shunts with greater resistance to flow than the currently used neonatal shunt devices may be indicated, to allow a more gradual ventricular decompression.
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