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Acquired aqueductal stenosis in preterm infants: an indication for neuroendoscopic third ventriculostomy

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Abstract

Object

The object of this study is to demonstrate the delayed occurrence of aqueductal stenosis in preterm infants who have suffered from intraventricular hemorrhage (IVH) and to try to explain the mechanisms of this stenosis.

Method

From January 1996 to June 2002, 1,046 premature infants were admitted to our institution. Thirty-six neonates suffered from grade 3 or 4 intraventricular hemorrhage (Papile grading), of whom 16 died. Twenty patients survived and a ventriculoperitoneal shunt was inserted in 7 infants. Four patients underwent a neuroendoscopic third ventriculostomy. Follow-up was carried out, twice a month during the first 2 months and subsequently twice a year.

Conclusion

In 2 children NTV was an effective treatment for hydrocephalus with an average follow-up of 29 months. The specific pattern concerning these patients is the long delay before obstructive hydrocephalus and the visualization of de novo obstruction with MRI. The biological explanation must be investigated.

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Acknowledgements

We are deeply indebted to Mark Krieger, MD, for his thoughtful help during the translation of this manuscript.

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Authors and Affiliations

  1. Department of Pediatric Neurosurgery, Hôpital des Enfants, La Timone, 13385, Marseille Cedex 05, France

    D. Scavarda & G. Lena

  2. Department of Pediatrics, American Memorial Hospital, Reims, France

    N. Bednarek, C. Koch & P. Morville

  3. Department of Neurosurgery, Hôpital Maison-Blanche, Reims, France

    F. Litre & P. Rousseaux

Authors
  1. D. Scavarda
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  2. N. Bednarek
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  3. F. Litre
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  4. C. Koch
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  5. G. Lena
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  6. P. Morville
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  7. P. Rousseaux
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Correspondence to D. Scavarda.

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Scavarda, D., Bednarek, N., Litre, F. et al. Acquired aqueductal stenosis in preterm infants: an indication for neuroendoscopic third ventriculostomy. Childs Nerv Syst 19, 756–759 (2003). https://doi.org/10.1007/s00381-003-0805-2

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  • DOI: https://doi.org/10.1007/s00381-003-0805-2

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