scholarly journals A Case Report of Neonatal posthemorrhagic hydrocephalus in a premature infant.

2020 ◽  
Vol 1 (3) ◽  
pp. e253
Author(s):  
Kiran Niraula ◽  
Ali Niyaf ◽  
Dusooma Abdul Razzag ◽  
Manoj Gautam ◽  
Yujan Sapkota ◽  
...  
Keyword(s):  
Case Report ◽  
Birth Weight ◽  
Very Low Birth Weight ◽  
Communicating Hydrocephalus ◽  
Low Birth Weight Infants ◽  
Germinal Matrix ◽  
Posthemorrhagic Hydrocephalus ◽  
Case Presentation ◽  
Male Baby ◽  
Ventricular Hemorrhage

Background: Neurosurgical services in the Maldives began around five years ago, but the first neurosurgical center is responsible for various emergency and clinical neurosurgical services. Published literature on neurosurgery from the Maldives Islands is limited. It is imperative to report unique cases from isolated countries to promote diversity for readers across the globe. Case Presentation: We present a case of a ventriculo-subgaleal shunt placement in an extremely premature male baby with intra-ventricular hemorrhage, causing communicating hydrocephalus born at 22 weeks of gestation weighing 600 grams to a young primigravida. The shunt was performed in the first month of life (780 grams) for communicating hydrocephalus secondary to the germinal matrix bleed into the ventricles. Conclusion: Ventriculo-subgalel shunt under local anesthesia is a promising measure to treat hydrocephalus in pre-term very low birth weight infants secondary to germinal matrix hemorrhage.

scholarly journals Germinal Matrix-Intraventricular Hemorrhage: A Tale of Preterm Infants

2021 ◽  
Vol 2021 ◽  
pp. 1-14
Author(s):  
Walufu Ivan Egesa ◽  
Simon Odoch ◽  
Richard Justin Odong ◽  
Gloria Nakalema ◽  
Daniel Asiimwe ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Intraventricular Hemorrhage ◽  
Very Low Birth Weight ◽  
Preterm Neonates ◽  
Low Birth Weight Infants ◽  
Neurodevelopmental Outcomes ◽  
Germinal Matrix ◽  
Posthemorrhagic Hydrocephalus ◽  
Management Interventions ◽  
Incidence Risk

Germinal matrix-intraventricular hemorrhage (GM-IVH) is a common intracranial complication in preterm infants, especially those born before 32 weeks of gestation and very-low-birth-weight infants. Hemorrhage originates in the fragile capillary network of the subependymal germinal matrix of the developing brain and may disrupt the ependymal lining and progress into the lateral cerebral ventricle. GM-IVH is associated with increased mortality and abnormal neurodevelopmental outcomes such as posthemorrhagic hydrocephalus, cerebral palsy, epilepsy, severe cognitive impairment, and visual and hearing impairment. Most affected neonates are asymptomatic, and thus, diagnosis is usually made using real-time transfontanellar ultrasound. The present review provides a synopsis of the pathogenesis, grading, incidence, risk factors, and diagnosis of GM-IVH in preterm neonates. We explore brief literature related to outcomes, management interventions, and pharmacological and nonpharmacological prevention strategies for GM-IVH and posthemorrhagic hydrocephalus.

scholarly journals Germinal Matrix Hemorrhage: Intraventricular Hemorrhage in Very-Low-Birth-Weight Infants

Stroke ◽  
2011 ◽  
Vol 42 (7) ◽  
pp. 1889-1893 ◽  
Author(s):  
Luca A. Ramenghi ◽  
Monica Fumagalli ◽  
Michela Groppo ◽  
Dario Consonni ◽  
Loredana Gatti ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Intraventricular Hemorrhage ◽  
Very Low Birth Weight ◽  
Low Birth Weight Infants ◽  
Germinal Matrix ◽  
Germinal Matrix Hemorrhage

scholarly journals Central diabetes insipidus: alert for dehydration in very low birth weight infants during the neonatal period. A case report

2014 ◽  
Vol 133 (1) ◽  
pp. 60-63 ◽  
Author(s):  
Maria Lúcia Silveira Ferlin ◽  
Débora Simone Sales ◽  
Fábia Pereira Martins Celini ◽  
Carlos Eduardo Martinelli Junior
Keyword(s):  
Case Report ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Diabetes Insipidus ◽  
Very Low Birth Weight ◽  
Neonatal Period ◽  
Central Diabetes Insipidus ◽  
Low Birth Weight Infants ◽  
Normal Fluid ◽  
Fluid Supply

CONTEXT: Central diabetes insipidus (CDI) is a rare cause of hypernatremia during the neonatal period. The diagnosis is particularly difficult in very low birth weight (VLBW) newborns. CASE REPORT: We report on a preterm newborn who presented CDI soon after birth. On the third day of life, signs of dehydration were present despite normal fluid supply. The diuresis rate was 4.4 ml/kg/h. Although the fluid supply was then increased, the dehydration continued, with hypernatremia, normal glycemia, diuresis of 7.4 ml/kg/h and urine density of 1005 mOsmol/l. Thus, a diagnostic hypothesis of diabetes insipidus was raised. A test with a nasal vasopressin analogue (dDAVP) was performed and CDI was confirmed. Reduction of the fluid supply became possible through appropriate treatment. CONCLUSION: The diagnosis of CDI is rarely made during the neonatal period, especially in VLBW newborns, because of the difficulty in detecting elevated diuresis. Persistent hypernatremia, usually accompanied by hyperthermia despite abundant fluid supply, weight loss and low urine osmolality are important signs of alert.

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