Key result
Emergency external ventricular drainage successfully treated a rare case of intraventricular hemorrhage in a term infant, resulting in seizure freedom and discharge 11 days post-surgery.
Why the study?
Intraventricular hemorrhage predominantly affects preterm infants and the elderly, while its prevalence in term neonates is less documented.
Case Report (n=1)
No
This case highlights the successful management of a rare instance of intraventricular hemorrhage in a term infant through cerebrospinal fluid drainage with an external ventricular drain.
Background: Intraventricular hemorrhage (IVH) is a subtype of intracerebral bleeding confined to theventricular system, predominantly affecting preterm infants and the elderly. While its prevalence in term neonatesis less documented, it is estimated to occur in 3.5% to 5.0% of cases. Potential etiologies for IVH in term infantsinclude arteriovenous malformations (AVM), bleeding disorders, and trauma, particularly from instrumentalvaginal deliveries. Management typically involves a multidisciplinary approach, including pediatricians,neurosurgeons, neurologists, hematologists, and neuroradiologists. External ventricular drainage (EVD) is theprimary treatment method for IVH complicated by obstructive hydrocephalus.
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Hamdani et al. (2024) conducted a case report in Intraventricular Hemorrhage (n=1). External ventricular drainage (EVD) was evaluated on Clinical improvement and discharge. Emergency external ventricular drainage successfully treated a rare case of intraventricular hemorrhage in a term infant, resulting in seizure freedom and discharge 11 days post-surgery.
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