We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Pathophysiologic mechanisms and strategies for the treatment of post-hemorrhagic hydrocephalus of prematurity.
- Authors
Koutsouras, George W.; Koustov, Tatyana; Zyck, Stephanie; Krishnamurthy, Satish
- Abstract
Purpose: Post-hemorrhagic hydrocephalus (PHH) of prematurity is a devastating pathology. Neurodevelopmental disabilities, including cognitive and motor deficits are very commonly seen among this population. Thus, there is interest to delineate the pathophysiology of PHH to uncover potential therapeutic targets. Methods: We performed a systematic review of the current literature on pathophysiological mechanisms and progressive strategies in the management of post-hemorrhagic hydrocephalus of prematurity. Our literature search identified a total of 58 articles pertaining to the pathophysiology, risk factors and management of post-hemorrhagic hydrocephalus. Results: Presence of high-grade germinal matrix hemorrhage does not always predict PHH and neither does obstruction of pathways seen on ultrasound or MRI scan. We also describe the management options for posthemorrhagic hydrocephalus, including surgical and non-surgical. Conclusion: We conclude that pathogenesis of post-hemorrhagic hydrocephalus of prematurity is clearly multifactorial and definitive prediction of who will eventually develop PHH continues to be elusive.
- Subjects
HYDROCEPHALUS; DRUG target
- Publication
Child's Nervous System, 2022, Vol 38, Issue 3, p511
- ISSN
0256-7040
- Publication type
Article
- DOI
10.1007/s00381-021-05427-x