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Implantation of Ommaya reservoir in extremely low weight premature infants with posthemorrhagic hydrocephalus: a cautious option

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Abstract

Objective

This study aims to evaluate effects and complications of the implantation of Ommaya reservoir in premature infants with posthemorrhagic hydrocephalus (PHH).

Methods

The effects and complications of the implantation of Ommaya reservoir in seven premature infants with PHH were retrospectively analyzed. Intracapsular puncture of the reservoir was performed for draining cerebrospinal fluid.

Results

Seven extremely low-weight premature infants with PHH (birthweight less than 1,000 g) were treated with the placement of an Ommaya reservoir. Ommaya reservoirs in five infants were removed, but were retained in two infants. Two premature infants had to undergo ventriculoperitoneal (VP) shunt. Postsurgical major complications (including skin dehiscence, cerebrospinal fluid (CSF) infection, ventricular hemorrhage, and CSF leak) occurred in 57 % of all patients. Three infants of skin dehiscence and CSF leak occurred. Two infants of CSF infection occurred, as well as one clinically significant secondary hemorrhage. Six infants survived, and one died.

Conclusion

The implantation of Ommaya reservoir is a cautious option of treating low-weight premature infants with PHH because of a relatively high complication rate. However, VP shunt surgery may be avoided in some infants.

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Acknowledgments

This study was supported by Foundation of Science Technology Department of Zhejiang Province of China (no. 2010 C33090).

Conflict of interest

None.

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Authors and Affiliations

  1. Department of Neurosurgery, Yuying Children’s Hospital of Wenzhou Medical Collage, No. 109 Xueyuanxilu Street, Wenzhou, Zhejiang, 325027, China

    Lin Jian, Sheng Hang-song, Yu Li-sheng, Wang Heng & Zhang Nu

  2. Department of Neonatology, Yuying Children’s Hospital of Wenzhou Medical Collage, No. 109 Xueyuanxilu Street, Wenzhou, Zhejiang, 325027, China

    Lin Zheng-lang

Authors
  1. Lin Jian
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  2. Sheng Hang-song
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  3. Lin Zheng-lang
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  4. Yu Li-sheng
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  5. Wang Heng
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  6. Zhang Nu
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Corresponding author

Correspondence to Zhang Nu.

Additional information

Lin Jian and Sheng Hang-song contributed equally to this article.

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Jian, L., Hang-song, S., Zheng-lang, L. et al. Implantation of Ommaya reservoir in extremely low weight premature infants with posthemorrhagic hydrocephalus: a cautious option. Childs Nerv Syst 28, 1687–1691 (2012). https://doi.org/10.1007/s00381-012-1847-0

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  • DOI: https://doi.org/10.1007/s00381-012-1847-0

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