Ultrasound-assisted neuroendoscopic lavage for intraventricular hemorrhage in a newborn: illustrative case

BACKGROUNDThe optimal treatment for posthemorrhagic hydrocephalus in newborns has not been established yet. Moreover, despite many valid therapeutic alternatives, unfavorable neurodevelopmental outcomes are frequent. According to recent literature, these discouraging results could be related to seco...

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Published in:Journal of neurosurgery. Case lessons 2021, Vol.1 (23), p.CASE2196-CASE2196
Main Authors: Sartori, Luca, Furlanis, Giulia Melinda, Caliri, Samuel Luciano, Garbin, Elisa, Baro, Valentina, Denaro, Luca
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container_issue 23
container_start_page CASE2196
container_title Journal of neurosurgery. Case lessons
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creator Sartori, Luca
Furlanis, Giulia Melinda
Caliri, Samuel Luciano
Garbin, Elisa
Baro, Valentina
Denaro, Luca
description BACKGROUNDThe optimal treatment for posthemorrhagic hydrocephalus in newborns has not been established yet. Moreover, despite many valid therapeutic alternatives, unfavorable neurodevelopmental outcomes are frequent. According to recent literature, these discouraging results could be related to secondary inflammatory damage of the white matter due to the gradual dissolution of the intraventricular hematoma, which should be removed. OBSERVATIONSNeuroendoscopic lavage (NEL) has proven to be a safe and reliable procedure, able to adequately remove the intraventricular clots and the products of blood degradation. To increase surgical control of the entire ventricular system, the authors illustrated a case in which they associated real-time transfontanellar ultrasound monitoring with NEL. LESSONSCoupling these two techniques, the authors performed a rapid ventricular wash and obtained intraoperative confirmation of complete and accurate clot removal.
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Moreover, despite many valid therapeutic alternatives, unfavorable neurodevelopmental outcomes are frequent. According to recent literature, these discouraging results could be related to secondary inflammatory damage of the white matter due to the gradual dissolution of the intraventricular hematoma, which should be removed. OBSERVATIONSNeuroendoscopic lavage (NEL) has proven to be a safe and reliable procedure, able to adequately remove the intraventricular clots and the products of blood degradation. To increase surgical control of the entire ventricular system, the authors illustrated a case in which they associated real-time transfontanellar ultrasound monitoring with NEL. 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title Ultrasound-assisted neuroendoscopic lavage for intraventricular hemorrhage in a newborn: illustrative case
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