Child's Nervous System

, Volume 24, Issue 2, pp 193–195 | Cite as

In uteroventriculo-amniotic shunt for hydrocephalus

  • Abdulrahman Al-Anazi
  • Fatheya Al-Mejhim
  • Noora Al-Qahtani
Original Paper

Abstract

Introduction

Hydrocephalus is one of the most common congenital anomalies affecting the central nervous system especially in developing countries for several reasons including prohibition of abortion in many countries. The technological advances in methods of intrauterine diagnosis of congenital malformation made it possible to detect early enlargement of the ventricles and diagnose hydrocephalus as early as 15 weeks of gestational age. Many trials of intrauterine shunting proved unsuccessful, mainly because of complications such as intra- or extracranial shunt migration, obstruction, infection, and malposition.

Case report

The author is presenting a case of a successful ventriculo-amniotic shunt utilizing Al-Anazi ventriculo-uterine shunt, which is easy to implant. It has a one-way valve to prevent amniotic fluid backflow and special wings to prevent shunt migration, which are both relatively short and wide to reduce the possibility of malfunction and the risk of infection because there is no exposure with the external environment.

Conclusion

Our successful trial showed that Al-Anazi ventriculo-uterine shunt might be the first step in treating congenital hydrocephalus.

Keywords

Intrauterine shunt Hydrocephalus Fetal surgery 

References

  1. 1.
    Al-Anazi AR, Nasser MJ (2003) Hydrocephalus in Eastern Province of Saudi Arabia. Qatar Med J 12(2):133–135Google Scholar
  2. 2.
    Bruner J, Davis G, Tulipan N (2006) Intrauterine shunt for obstructive hydrocephalus—still not ready. Fetal Diagn Ther 21:532–539PubMedCrossRefGoogle Scholar
  3. 3.
    Cavalheiro S, Dastoli P, Moron AF, Zymberg ST (2003) Fetal hydrocephalus-prenatal treatment. Childs Nerv Sys 19:561–573CrossRefGoogle Scholar
  4. 4.
    Clewell WH, Johnson ML, Meier PR et al (1982) A surgical approach to the treatment of fetal hydrocephalus. N Engl J Med 306:1820–1825CrossRefGoogle Scholar
  5. 5.
    El Awad ME (1992) Infantile hydrocephalus in the south-western region of Saudi Arabia. Ann Trop Pediatra 12(3):119–123Google Scholar
  6. 6.
    Honda Y, Hidaka M, Matsumoto S, Sato O (1998) Intrauterine high resolution magnetic resonance imaging in fetal hydrocephalus and prenatal estimation of postnatal outcomes with perspective classification. J Neurosurg 88:685–694PubMedCrossRefGoogle Scholar
  7. 7.
    Jeanty P, Delbcke D, Dramaix-Wilmer M, Rodesch F, Struyven J (1981) Ultrasonic evaluation of fetal ventricular growth. Neuroradiology 21:127–131PubMedGoogle Scholar
  8. 8.
    Micheida M (1986) Intrauterine treatment of hydrocephalus. Fetal Ther 1:75–79CrossRefGoogle Scholar
  9. 9.
    Murshid W, Imam Dad M, Jarallah J (2000) Epidemiology of infantile hydrocephalus in Saudi Arabia: Birth prevalence and associated factors. Pediatr Neurosurg 32:119–123PubMedCrossRefGoogle Scholar
  10. 10.
    Reynolds J, Frost A, Gill W, Nadell J, Mabie W, Pernoll M (1985) Fetal hydrocephalus: a case of ventricular-amniotic shunting. Southern Med J 78:203–205CrossRefPubMedGoogle Scholar
  11. 11.
    Sutton L, Adzick S, Sun P (2001) Fetal Neurosurgery. Neurosurg 48:124–144CrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Abdulrahman Al-Anazi
    • 1
  • Fatheya Al-Mejhim
    • 2
  • Noora Al-Qahtani
    • 2
  1. 1.Department of NeurosurgeryKing Fahad Hospital of the University, King Faisal UniversityAl-KhobarSaudi Arabia
  2. 2.Department of OB-GyneKing Fahad Hospital of the UniversityAl-KhobarSaudi Arabia

Personalised recommendations