Neuroendoscopic surgery for treatment of haemorrhage and hydrocephalus associated to prematurity

Abstract

A 16 days old boy was born at 32 weeks. Ultrassound assessment just before delivery demonstrated intracranial haemorrhage, which was confirmed after birth on a CT scan. Continuous enlargement of HC, tension of the fontanells and somnolence lead to surgery for treatment of both haemorrhage and hydrocephalus. Ventricular blood was evacuated after copious irrigation. After difficult identification of the structures, a third ventriculostomy was performed. Four months after the operation, the child is doing well, HC growing in a compensate way, improving global tonus. A control image shows residual ventriculomegaly with no signs of intracranial hypertension.

Keywords

• neuroendoscopy
• endoscopic lavage
• hydrocephalus
• intraventricular hemorrhage