Ultrasound-assisted neuroendoscopic lavage for intraventricular hemorrhage in a newborn: illustrative case.
| Autor: | Sartori L; Academic Neurosurgery, Department of Neurosciences, University of Padova, Padova, Italy., Furlanis GM; Academic Neurosurgery, Department of Neurosciences, University of Padova, Padova, Italy., Caliri SL; Academic Neurosurgery, Department of Neurosciences, University of Padova, Padova, Italy., Garbin E; Academic Neurosurgery, Department of Neurosciences, University of Padova, Padova, Italy., Baro V; Academic Neurosurgery, Department of Neurosciences, University of Padova, Padova, Italy., Denaro L; Academic Neurosurgery, Department of Neurosciences, University of Padova, Padova, Italy. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of neurosurgery. Case lessons [J Neurosurg Case Lessons] 2021 Jun 07; Vol. 1 (23), pp. CASE2196. Date of Electronic Publication: 2021 Jun 07 (Print Publication: 2021). |
| DOI: | 10.3171/CASE2196 |
| Abstrakt: | Background: The optimal treatment for posthemorrhagic hydrocephalus in newborns has not been established yet. Moreover, despite many valid therapeutic alternatives, unfavorable neurodevelopmental outcomes are frequent. According to recent literature, these discouraging results could be related to secondary inflammatory damage of the white matter due to the gradual dissolution of the intraventricular hematoma, which should be removed. Observations: Neuroendoscopic lavage (NEL) has proven to be a safe and reliable procedure, able to adequately remove the intraventricular clots and the products of blood degradation. To increase surgical control of the entire ventricular system, the authors illustrated a case in which they associated real-time transfontanellar ultrasound monitoring with NEL. Lessons: Coupling these two techniques, the authors performed a rapid ventricular wash and obtained intraoperative confirmation of complete and accurate clot removal. Competing Interests: Disclosures The authors report no conflict of interest concerning the materials or methods used in this study or the findings specified in this paper. (© 2021 The authors.) |
| Databáze: | MEDLINE |
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