DURAN BERKER CEMİL, Emre Cemal GÖKÇE, Mehmet Nevzat ÇİZMECİ, MEHMET KENAN KANBUROĞLU, Mustafa Mansur TATLI, Bülent ERDOĞAN

Posthemorajik hidrosefalisi olan düşük ağırlıklı infantın ventriküloperitoneal şant operasyonu ile tedavisi

Preterm infantlarda görülen en ciddi problemlerden biri intraventriküler hemorajilerdir. Intraventriküler hemora-jilerin en önemli komplikasyonu posthemorajik hidrose-falidir ve yüksek morbidite-mortalite nedenidir. Posthe-morajik hidrosefalinin tedavisinde seçilecek yöntem ve uygulama zamanı konusunda ortak bir görüş bulunma-maktadır. Bu olguda, germinal matriks kanaması sonra-sında intraventriküler kanama ve hidrosefali gelişen 31 haftalık 1500 gram ağırlığındaki preterm infanta ventri-küloperitoneal şant uygulanmıştır. Ventriküloperitoneal şant implantasyonu enfeksiyon ve obstrüksiyon gibi komplikasyonlara rağmen bir çok vakada halen en uygun tedavi seçeneğidir.

Anahtar Kelimeler:

Hidrosefali, Süt çocuğu, düşük doğum ağırlıklı, Ventriküloperitoneal şant, Prematüre doğum, Tedavi sonucu, Gebelik, ikiz, Süt çocuğu, prematür

A case of low birth-weight infant with posthemorr-hagic hydrocephalus successfully treated with ventriculoperitoneal shunt operation

One of the most serious problem in preterm infants is intraventricular hemorrhage. Post hemorrhagic hydrocephalus is a major complication of intraventricular hemorrhage and is the leading cause of high morbidity and mortality rates. No consensus exists as to the ideal timing and method of treatment of post hemorrhagic hydrocephalus. Hereby we report, a female infant born at 31 weeks, weighing 1500 gram suffered from intraventricular hemorrhage and hydrocephalus after germinal matrix hemorrhage. Ventriculoperitoneal shunt implantation was performed. Ventriculoperitoneal shunt implantation surgery though the complications of infection or obtstruction, is still the most appropriate modality of treatment.

Keywords:

Hydrocephalus, Infant, Low Birth Weight, Ventriculoperitoneal Shunt, Premature Birth, Treatment Outcome, Pregnancy, Twin, Infant, Premature,

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