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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

Dimensions Citations:

Plum Analytics:
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
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