Journal of Korean Neurosurgical Society

  • 제66권3호
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  • Pages.274-280
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  • 2023
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Temporary Surgical Management of Intraventricular Hemorrhage in Premature Infants

  • Eun-Kyung Park (Department of Pediatric Neurosurgery, Severance Children's Hospital, College of Medicine, Yonsei University) ;
  • Ja-Yoon Kim (Department of Otorhinolaryngology, College of Medicine, Yonsei University) ;
  • Dong-Seok Kim (Department of Pediatric Neurosurgery, Severance Children's Hospital, College of Medicine, Yonsei University) ;
  • Kyu-Won Shim (Department of Pediatric Neurosurgery, Severance Children's Hospital, College of Medicine, Yonsei University)
  • 투고 : 2022.12.02
  • 심사 : 2023.03.28
  • 발행 : 2023.05.01
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초록

Post-hemorrhagic hydrocephalus (PHH) in preterm infant is common, life-threatening and the main cause of bad developmental outcomes. Ventriculoperitoneal (VP) shunt is used as the ultimate treatment for PHH. Low birth weight and low gestational age are the combination of worse prognostic factors while the single most important prognostic factor of VP shunting is age. Aggressive and early intervention have better effect in intraventricular hemorrhage and intracranial pressures control. It reduces infection rate and brain damage resulted in delayed shunt insertion. It is extremely important to let PHH infants get older and gain weight to have internal organs to be matured before undergoing VP shunt. As premature infants undergo shunt after further growth, shunt-related complications would be reduced. So temporary surgical intervention is critical for PHH infants to have them enough time until permanently shunted.

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참고문헌

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