Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Müller, W; Urlesberger, B; Maurer, U; Kuttnig-Haim, M; Reiterer, F; Moradi, G; Pichler, G.
Serial lumbar tapping to prevent posthaemorrhagic hydrocephalus after intracranial haemorrhage in preterm infants.
Wien Klin Wochenschr. 1998; 110(18):631-634
Web of Science
PubMed
- Führende Autor*innen der Med Uni Graz
- Müller Wilhelm
- Co-Autor*innen der Med Uni Graz
- Haim Michaela
- Pichler Gerhard
- Reiterer Friedrich
- Urlesberger Berndt
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- Abstract:
- Posthaemorrhagic ventricular dilation following intraventricular haemorrhage is a serious problem with high morbidity in preterm babies. No consensus exists as to the treatment of intraventricular haemorrhage and as to the treatment or prophylaxis of posthaemorrhagic ventricular dilation. Serial lumbar tapping was already in use to treat existing or being in the offing ventricular dilation. In the present study we evaluated the incidence of posthaemorrhagic hydrocephalus when lumbar tapping was initiated early, i. e. immediately before ventricular dilation had started. Between January 1989 and December 1996 37 preterm infants suffering from intraventricular haemorrhage grade III or grade III plus periventricular haemorrhage were enrolled in this study. Lumbar tapping was started as soon as possible: median (25. percentile-75. percentile) two (0-4) days after onset of haemorrhage. A median of 11 (8-17) punctures was performed in each patient. The outcome was as follows: 6 patients (16.2%) showed complete remission, 24 (64.9%) developed ventriculomegaly and 7 (18.9%) developed posthaemorrhagic hydrocephalus with subsequent need of shunt implantation. With the low incidence of shunt implantations in our study we suggest to reconsider the effectiveness of SLP performed immediately after onset of haemorrhage.
- Find related publications in this database (using NLM MeSH Indexing)
- Cerebral Hemorrhage - complications
- Cerebral Ventricles - pathology
- Dilatation, Pathologic - pathology
- Female - pathology
- Humans - pathology
- Hydrocephalus - diagnosis
- Infant, Newborn - diagnosis
- Infant, Premature, Diseases - diagnosis
- Male - diagnosis
- Retreatment - diagnosis
- Spinal Puncture - diagnosis
- Treatment Outcome - diagnosis
- Ventriculoperitoneal Shunt - diagnosis
- Find related publications in this database (Keywords)
- Intraventricular Hemorrhage
- Serial Lumbar Punctures
- Preterm Infant
- Hydrocephalus