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Perioperative Management of Hydrocephalus in Preterm

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Hydrocephalus

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Abstract

Background: Ex-preterms often develop hydrocephalic changes which may necessitate ventriculoperitoneal shunt insertion as early as possible to preserve cognitive functions. Surgery is often challenged by the preterm’s bleeding tendency and susceptibility to infections in addition to anatomical differences. Methodology: A case series of ten ex-preterms with hydrocephalic changes were followed through their course and evaluated by comprehensive examination. Detailed history taking of their neonatal intensive course stay along with perioperative evaluation and report of intraoperative or postoperative incidents was done. Results: Reported incidents included seizures (3/10), jitteriness (2/10), and hypotension (1/10). Infection rate was 10% and obstruction in 10% rate.

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Authors and Affiliations

  1. Faculty of Medicine, Cairo University, Giza, Egypt

    Sherif Al Mekawi M.D. & Nermeen Galal M.D., M.R.C.P.C.H

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  1. Sherif Al Mekawi M.D.
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  2. Nermeen Galal M.D., M.R.C.P.C.H
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Correspondence to Sherif Al Mekawi M.D. .

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Editors and Affiliations

  1. Dammam University, King Fahd University Hospital Dammam University, Al Khobar, Saudi Arabia

    Ahmed Ammar

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Al Mekawi, S., Galal, N. (2017). Perioperative Management of Hydrocephalus in Preterm. In: Ammar, A. (eds) Hydrocephalus. Springer, Cham. https://doi.org/10.1007/978-3-319-61304-8_13

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  • DOI: https://doi.org/10.1007/978-3-319-61304-8_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-61303-1

  • Online ISBN: 978-3-319-61304-8

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