J Korean Soc Neonatol.
2009 Nov;16(2):234-238.
Management of Posthemorrhagic Hydrocephalus in an Extremely Low Birth Weight Infant with an Ommaya reservoir: A Case Report
- Affiliations
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- 1Department of Pediatrics, Gachon University of Medicine and Science, Gil Hospital, Incheon, Korea. sondw@gilhospital.com
- 2Department of Neurosurgery, Gachon University of Medicine and Science, Gil Hospital, Incheon, Korea.
- 3Department of Pediatric Neurosurgery, Pediatrics, Seoul National University College of Medicine, Seoul, Korea.
Abstract
- Posthemorrhagic hydrocephalus is a major problem in premature infants. We describe our experience with a neonate that was an extremely low birth weight infant with posthemorrhagic hydrocephalus, who was treated by repeated ventricular drainage through an Ommaya reservoir for more than two months until the placement of a ventriculoperitoneal shunt was possible. The Ommaya reservoir served as a bridge to definitive treatment. The patient required sodium supplements due to excessive salt loss from the repeated ventricular drainage procedures. Regular measurement of serum electrolytes in any infant requiring serial ventricular drainage is recommended.