Management of Posthemorrhagic Hydrocephalus in an Extremely Low Birth Weight Infant with an Ommaya reservoir: A Case Report.

Cho,  Hye Jung; Son,  Dong Woo; Shim,  So Yeon; Kim,  Eun Young; Kim,  Seung Ki

Case Report

Journal of the Korean Society of Neonatology 2009;16(2):234-238.
Published online November 1, 2009.

Management of Posthemorrhagic Hydrocephalus in an Extremely Low Birth Weight Infant with an Ommaya reservoir: A Case Report.

Hye Jung Cho, Dong Woo Son, So Yeon Shim, Eun Young Kim, Seung Ki Kim

¹Department of Pediatrics, Gachon University of Medicine and Science, Gil Hospital, Incheon, Korea. sondw@gilhospital.com
²Department of Neurosurgery, Gachon University of Medicine and Science, Gil Hospital, Incheon, Korea.
³Department of Pediatric Neurosurgery, Pediatrics, Seoul National University College of Medicine, Seoul, Korea.

Management of Posthemorrhagic Hydrocephalus in an Extremely Low Birth Weight Infant with an Ommaya reservoir: A Case Report

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Abstract

Posthemorrhagic hydrocephalus is a major problem in premature infants. We describe our experience with a neonate that was an extremely low birth weight infant with posthemorrhagic hydrocephalus, who was treated by repeated ventricular drainage through an Ommaya reservoir for more than two months until the placement of a ventriculoperitoneal shunt was possible. The Ommaya reservoir served as a bridge to definitive treatment. The patient required sodium supplements due to excessive salt loss from the repeated ventricular drainage procedures. Regular measurement of serum electrolytes in any infant requiring serial ventricular drainage is recommended.

Key Words: Posthemorrhagic hydrocephalus; Ommaya reservoir; Neonate; Hyponatremia