Premium
Rapid Decompression of Congenital Hydrocephalus Associated with Parenchymal Hemorrhage
Author(s) -
Bass Thomas,
White Larry E.,
Wood Richard D.,
Werner Alice L.,
Schinco Frank P.
Publication year - 1995
Publication title -
journal of neuroimaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.822
H-Index - 64
eISSN - 1552-6569
pISSN - 1051-2284
DOI - 10.1111/jon199554249
Subject(s) - medicine , hydrocephalus , aqueductal stenosis , shunt (medical) , decompression , magnetic resonance imaging , parenchyma , shunting , cerebral blood flow , cerebrospinal fluid , radiology , surgery , anesthesia , pathology
A newborn boy with congenital hydrocephalus was diagnosed with aqueductal stenoSIS using magnetic resonance Imaging. Low‐resistance ventrrculoperrtoneal shunt placement was followed by clmical deterroratlon Repeat imagrng studies revealed a collapsed cortical mantle with subdural hemorrhage. In addition to subdural blood, often associated with marked cerebral conformational changes, extensive lntraparenchymal hemorrhage was seen. For extreme congenital hydrocephalus, ventrlculoperrtoneal shunts with greater resistance to flow than the currently used neonatal shunt deVIces may be indicated, to allow a more gradual ventrrcular decompression.