Obstetrical Management of Hydrocephalic Fetal Monster in a Tharparker Cow: A Case Report

Hydrocephalus condition is described either as an external or an internal. In the external hydrocephalus (Vidya Sagar et al., 2010), fluid accumulates in the subarachnoid space exterior to the brain, whereas in the internal hydrocephalus fluid accumulates in the ventricles of the brain. There are several forms of congenital deformity in the bovine fetus. Among them, congenital hydrocephalus has been described in cattle (Purohit et al., 2006; Dar et al., 2012; Ravikumar et al., 2013; Tripathi et al., 2014; Prakash et al., 2016; Megahed, 2017; Chhetri et al., 2018 ) and buffalo (Salunke et al., 2001; Kumaresan et al., 2003; Pandey et al., 2010). The diagnosis of the condition is easy if the fetus is in an anterior presentation. In fetuses with very large heads, puncture of the head with a trochar is advocated to relieve dystocia, along with routine obstetric maneuvers (Salunke et al., 2001) Sometimes, the calf may be born normally (Vidya Sagar et al., 2010) or by cesarean section when required (Kumaresan et al., 2003; Megahed, 2017). This paper aims to report a case of fetal hydrocephalus delivered per vaginally after obstetrical management in a Tharparker cow.

Outcome of infants with hydrocephalus findings on Intra-Uterine Ultrasound (USG) examination at Dr. Soetomo Hospital, Surabaya, Indonesia, in 2015-2017

Objectives: to report the outcome of cases with hydrocephalus findings on intra-uterine ultrasound (USG) examinations which happened between January 2015 - December 2017 at Dr. Soetomo Hospital.Case Report: During the period of January 2015 - December 2017, 20 pregnant women were found who performed an ante natal examination and obtained the fetus with hydrocephalus on intra uterine ultrasound examination. At the time of delivery, out of a total of 20 cases, all babies were born alive, but only 12 babies performed shunting operations with VP Shunt. But at the time of follow up the condition of the baby when the search of this case, found only 7 cases with living conditions. This is probably due to non-routine post-action control to ensure shunt conditions and complications that can result from shunt or other conditions. As seen from the growth and development of 7 surviving children, all cases with normal growth conditions were established based on WHO growth curve and developmental obstacles in all cases with evaluation using DDST II.Conclusion: Ultrasound examination is useful for determining the fetal prognosis, but for fetoscopic examination and intra uterine operative action remains controversial. Similarly, to determine the exact termination time and delivery mode. Pre-natal counseling and examination is required in mothers with a history of fetal hydrocephalus in previous pregnancies. With routine control is expected better outcomes in fetal hydrocephalus.