Turkish Neurosurgery
Intraventricular Hemorrhage and Related Hydrocephalus in a University Hospital: Single-center Data
Gülden Demirci Otluoğlu1, Semra Işık4, Berkay Paker2, Orkun Koban5, Teyyub Hasanov7, Akin Akakin2, Zafer Orkun Toktaş6, Baran Yilmaz2, Ali Haydar Turhan3
1Okan University School of Medicine, Neurosurgery, Istanbul,
2Bahçeşehir University School of Medicine, Neurosurgery, Istanbul,
3Bahçeşehir University School of Medicine, Pediatrics, Istanbul,
4Kanuni Sultan Süleyman Training Hospital, Neurosurgery, Istanbul,
5Lokman Hekim Hospital, Neurosurgery, Istanbul,
6Memorial Ataşehir Hospital, Neurosurgery, Istanbul,
7Liv Bona Dea Hospital, Neurosurgery, Bakü,
DOI: 10.5137/1019-5149.JTN.43279-22.1

Aim:Periventricular hemorrhage can occur in the fragile germinal matrix of preterm and low birth weight newborns and can be complicated by hemorrhagic infarction and posthemorrhagic ventricular dilatation. This study analyzed the demographic and clinical data of preterm or low birth weight newborns treated in a university hospital.Material and Methods:This retrospective study analyzed patients admitted to the neonatal intensive care unit of a Bahçeşehir University School of Medicine-Affiliated Hospital due to preterm birth or low birth weight between June 1, 2012, and April 30, 2021. Categorical values were evaluated by Pearson chi-square or Fisher’s exact test. The Mann-Whitney U test compared continuous values between the groups. Logistic regression was used to evaluate the factors that affected permanent Cerebrospinal fluid (CSF) diversion.Results:The study finally evaluated 180 newborns. Ninety-one newborns (50.5%) had grade I, 18 (10%) had grade II, 22 (12.2%) had grade III, and 49 (27.2%) had grade IV hemorrhage. One hundred and forty-nine patients (82.8%) were delivered by cesarean section, and 31 (17.2%) were delivered vaginally. All patients with low-grade hemorrhage who needed temporary CSF diversion eventually required permanent CSF diversion. For high-grade hemorrhage, 15 (grade III, 1; grade IV, 14) of 51 (29.4%) patients with ventricular access device (VAD) insertion required permanent CSF diversion. Fifteen (grade III, 6; grade IV, 9) of these 51 (29.4%) patients did not need permanent CSF diversion; thus, their VADs were removed.Conclusion:The permanent CSF diversion rate was significantly higher in the high-grade hemorrhage group, which had significantly lower weight and gestational age at birth. Moreover, only weight at VAD insertion had minimal effect on the need for permanent CSF diversion.

Corresponding author : Gülden Demirci Otluoğlu