Complications in the intraventricular hemorrhage of the newborn, a propos of a case
Keywords:
hydrocephalus, intraventricles hemorrhage, newborn, complicationsAbstract
The interventricular hemorrhage is a frequent complication in the premature newborn baby. The case was presente with the aim of describing the complications of intraventricular hemorrhage in the newborn baby. It dealed with a female newborn baby, product of a 30 weeks pregnancy, with weight at birth of 1 600 g. She developed intraventricular hemorrhage and hydrocephalus that required different neurosurgical interventions and developed serious septic complications. Ventriculitis and brain abscesses were the most dangerous complications. Ventricular lavages were performed. Intraventricular antibiotics were used as well as systemic antibiotic therapy, frequent changes of bypass catheter to the exterior and permanence of an external ventricular bypass for 102 days. And permanence of an external ventricular shunt for 102 days. After six months of evolution, more than twenty surgical interventions, and having suffered severe septic complications, it was possible to perform the definitive ventricular-peritoneal bypass, achieving her discharge. At a year of life, the patient maintains adequate psychomotor development.
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2. Cabañas F, Pellicer A. Lesión cerebral en el niño prematuro [Internet]. En: Protocolos Diagnósticos Terapéuticos de la AEP: Neonatología. Madrid: Asociación Española de Pediatría; 2008 [citado 05/01/2020]. Disponible en: https://www.aeped.es/sites/default/files/documentos/27.pdf
3. Torre Anca JF. Factores asociados a la estancia prolongada del recién nacido de muy bajo peso al nacer en el servicio de neonatología del Hospital Nacional Sergio E. Bernales en el periodo Junio 2016 – Junio 2017 [tesis en Internet]. Lima: Universidad Ricardo Palma; 2018 [citado 05/01/2020]. Disponible en: https://repositorio.urp.edu.pe/handle/URP/1259
4. Vaca Jácome DA. Factores predisponentes a hemorragia intraventricular en neonatos. Trabajo realizado en la Unidad de Cuidados Intensivos Neonatales del Hospital Universitario de Guayaquil años 2014-2015 [tesis en Internet]. Guayaquil: Universidad de Guayaquil; 2016 [citado 05/01/2020]. Disponible en: http://repositorio.ug.edu.ec/handle/redug/33409
5. Lizama O, Hernández H, Rivera F, et al. Incidencia de la hemorragia intraventricular en prematuros de muy bajo peso y sus factores asociados en un hospital nacional de Lima, Perú. Rev Med Hered [Internet]. 2014 [citado 05/01/2020]; 25(2). Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1018-130X2014000200002
6. García-Hernández HA, Mendoza-Sandoval AA, Contreras PMR. Hemorragia intraventricular en prematuro extremo. Rev Médica MD [Internet]. 2017 [citado 05/01/2020]; May-Jul 8(4). Disponible en: https://www.medigraphic.com/pdfs/revmed/md-2017/md174p.pdf
7. Starr R, De Jesus O, Shah SD, et al. Periventricular Hemorrhage-Intraventricular Hemorrhage. 2021 May 19. En: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan. Citado en PubMed; PMID: 30855894.
8. Greenberg MS. Handbook of Neurosurgery. 8va ed. New York: Thieme Medical Publishers; 2016.
9. Bassani L, Riva-Cambrin J. Management and Prevention of Shunt Infections. Cap. 204. En: Winn HR. Yumans and Winn Neurological Surgery. 7ma ed. Philadelphia: Elsevier; 2017. p. 1644-8.
10. Tunkel AR, Winn HR, Scheld WM. Brain Abscess. Cap. 39. En: Winn HR. Yumans and Winn Neurological Surgery. 7ma ed. Philadelphia: Elsevier; 2017. p. 187-99.
11. Winer JL, Robinson S. Infantile Posthemorrhagic Hydrocephalus. Cap. 198. En: Winn HR. Yumans and Winn Neurological Surgery. 7ma ed. Philadelphia: Elsevier; 2017. p. 1595-600.
12. Hollebrandse NL, Spittle AJ, Burnett AC, et al. School-age outcomes following intraventricular haemorrhage in infants born extremely preterm. Arch Dis Child Fetal Neonatal Ed. 2021 Jan; 106(1): 4-8. Citado en PubMed; PMID: 32732377.
13. García Hernández B, Gualpa Jácome A, Rodríguez Hernández A, et al. Hemorragia intraventricular en recién nacido. Presentación de un caso. Medisur [Internet]. 2016 [citado 01/11/2020]; 14(1): 73-6. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727-897X2016000100014
14. Graça AM, Cowan FM. Uncomplicated intraventricular hemorrhage is not associated with lower estimated cerebral volume at term age. Eur J Paediatr Neurol. 2021 Mar; 31: 15-20. Citado en PubMed; PMID: 33549954.
15. Sánchez-Códez MI, Alonso-Ojembarrena A, Arca-Suárez J. Gramnegativos infrecuentes como agentes etiológicos de infecciones nosocomiales en una Unidad de Cuidados Intensivos Neonatales. Rev Esp Quimioter. 2018; 31(3): 288-90. Citado en Pubmed; PMID: 29791124.
16. Moscote-Salazar LR, Cabeza-Morales M, Alvis-Miranda HR, et al. Absceso cerebral en pacientes pediátricos. Rev Chil Neurocirugía [Internet]. 2015 [citado 01/11/2020]; 41: 14-20. Disponible en: https://www.neurocirugiachile.org/pdfrevista/v41_n1_2015/moscoteSalazar_p14_v41n1_2015.pdf
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