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- Title
Outcome of infants shunted for post-haemorrhagic ventricular dilatation.
- Authors
Hislop, J. E.; Dubowitz, L. M. S.; Kaiser, A. M.; Singh, M. P.; Whitelaw, A. G. L.; Dubowitz, L M; Whitelaw, A G
- Abstract
Between April 1980 and March 1986, 19 infants underwent cerebrospinal fluid (CSF) shunting procedures for post-haemorrhagic ventricular dilatation at the Hammersmith Hospital, London. A total of 58 shunt-related procedures have been performed on these children. The major perioperative complication was seizure activity (eight children). Postoperative complications included infection (12 shunts) and blockage (29 shunts). Prophylactic antibiotics failed to prevent shunt infection. The likelihood of the first shunt failing was significantly reduced by greater weight of the infant and lower CSF protein at surgery. Long-term outcome was poor: three have died and another four are quadriplegic with severe mental retardation. Only four children are developmentally normal. These outcomes cannot be related to the shunt surgery or its complications, but correlate best with pre-operative parenchymal brain-lesions, as shown on ultrasound scans.
- Subjects
PREMATURE infant diseases; HYDROCEPHALUS; RESEARCH; CEREBRAL hemorrhage; CHILD development; RESEARCH methodology; SURGICAL complications; EVALUATION research; MEDICAL cooperation; CEREBROSPINAL fluid shunts; PERITONEUM; COMPARATIVE studies; HEART atrium; REOPERATION; LONGITUDINAL method
- Publication
Developmental Medicine & Child Neurology, 1988, Vol 30, Issue 4, p451
- ISSN
0012-1622
- Publication type
journal article
- DOI
10.1111/j.1469-8749.1988.tb04772.x