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Vol. 22. Núm. 5.Enero 2011Páginas 381-460
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Vol. 22. Núm. 5.Enero 2011Páginas 381-460
DOI: 10.1016/S1130-1473(11)70033-1
Hidrocefalia poshemorrágica asociada a la prematuridad: evidencia disponible diagnóstica y terapéutica
Posthemorrhagic hydrocephalus in the preterm infant: current evidence in diagnosis and treatment
Visitas
2536
C. Bravo
Servicios de Radiodiagnóstico. Hospital Carlos Haya. Málaga
P. Cano*, R. Conde**, M. Gelabert***, P. Pulido****, B. Ros*****, P. Miranda**,
Autor para correspondencia
mirandalloret@gmail.com

Correspondencia: Servicio de Neurocirugía Hospital Universitario y Politécnico La Fe Bulevar Sur s/n 46026 Valencia.
* Servicio de Neurocirugía. Hospital Vall d’Hebron. Barcelona
** Servicio de Neurocirugía. Hospital La Fe. Valencia
*** Servicio de Neurocirugía. Hospital Universitario de Santiago de Compostela
**** Servicio de Neurocirugía. Hospital de La Princesa - Hospital Montepríncipe. Madrid
***** Servicio de Neurocirugía. Hospital Carlos Haya. Málaga
Visitas
2536
Información del artículo
Resumen

La hemorragia de la matriz germinal y la hidrocefalia poshemorrágica son las complicaciones neuroquirúrgicas más frecuentes en los pacientes recién nacidos pretérmino91. La incidencia de estas complicaciones es muy variable según las series consultadas19,36,47,56,61,71,93, pero su prevalencia está en cualquier caso en aumento debido tanto a la mayor incidencia de embarazos múltiples y partos prematuros en relación al avance de las nuevas técnicas de fertilización, como a la mayor supervivencia de estos pacientes merced a los recientes avances en los cuidados perinatales85. En este contexto resulta esencial disponer de un conocimiento preciso y concreto de las recomendaciones diagnósticas y terapéuticas en referencia a esta entidad. Sin embargo, la evidencia disponible al respecto es a menudo fragmentada e incompleta. El objetivo de la presente revisión es proporcionar un resumen actualizado de los principales aspectos diagnósticos y terapéuticos de la hidrocefalia poshemorrágica asociada a la prematuridad. Para ello se ha solicitado a los miembros del grupo de trabajo de Neurocirugía Pediátrica de la Sociedad Española de Neurocirugía que revisen las cuestiones más relevantes en referencia a esta patología. Esto supone el primer paso para la elaboración de una guía clínica común para el tratamiento de las complicaciones asociadas a la hemorragia intra y periventricular del prematuro.

Palabras clave:
Hidrocefalia
Hemorragia intraventricular
Prematuridad
Tratamiento
Summary

Intraventricular haemorrhage and posthemorrhagic hydrocephalus are the most important neurological complications in preterm infants during the neonatal period91. The prevalence of germinal matrix-intraventricular haemorrhage widely varies depending on the population of study19,36,47,56,61,71,93, but it is in any case increasing due both to the higher incidence of multiple and preterm deliveries as well as the longer survival of preterm infants favoured by recent advances in perinatal care85. It is therefore of the utmost convenience to be familiar with the most important clinical evidence regarding this entity. However, the available evidence is often incomplete and piecemeal. The objective of the present review is to summarise the main diagnostic and therapeutic points regarding preterm-related posthemorrhagic hydrocephalus. The participants of the working-group in Pediatric Neurosurgery of the Spanish Society of Neurosurgery were asked to write these recommendations down. This hopefully represents the first step towards the definition of a clinical guide in the treatment of complications related to periventricular hemorrhage of the preterm infants.

Key words:
Hydrocephalus
Intraventricular hemorrhage
Preterm infants
Treatment
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Bravo, C.; Cano, P.; Conde, R.; Gelabert, M.; Pulido, P.; Ros, B.; Miranda, P.: Hidrocefalia poshemorrágica asociada a la prematuridad: evidencia disponible diagnóstica y terapéutica. Neurocirugía 2011; 22: 381–400.

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