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Rapidly progressive enlargement of the fourth ventricle in the preterm infant with post-haemorrhagic ventricular dilatation

By K J Rademaker, P Govaert, W P Vandertop, R Gooskens, L C Meiners and L S de Vries


Six preterm infants who developed disproportionate enlargement of the 4th ventricle during the neonatal period, associated with post-haemorrhagic ventricular dilatation (PHVD), before shunt placement are reported. Five of the six preterm infants developed cyanotic spells and/or bradycardias at the time of rapid enlargement of the 4th ventricle, suggestive of raised posterior fossa pressure, which resolved following insertion of and drainage from a subcutaneous reservoir. In one of the three survivors an isolated 4th ventricle was subsequently diagnosed later in infancy, requiring drainage. These data suggest that a combination of an enlarged 4th ventricle on ultrasound and cyanotic spells and/or bradycardias should lead to rapid release of raised pressure in the posterior fossa. Long-term follow-up of these children is necessary, as isolation of the 4th ventricle can subsequently develop

Topics: Cerebral Hemorrhage/complications, Cerebral Ventricles/diagnostic imaging, Dilatation, Pathologic/diagnosis, Fatal Outcome, Female, Humans, Infant, Newborn, Infant, Premature, Infant, Premature, Diseases, Magnetic Resonance Imaging, Male, Persistent Fetal Circulation Syndrome/complications, Pneumonia/complications, Respiratory Distress Syndrome, Newborn/complications, Ultrasonography, Ventriculoperitoneal Shunt
Year: 1995
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Provided by: NARCIS
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