-transparent.png){kind=logo}
Serial lumbar punctures for the management of neonatal posthemorrhagic hydrocephalus without intracranial hypertension were evaluated in 16 infants. Cranial ultrasonography to evaluate ventricular size and the Ladd monitor at the anterior fontanel to measure intracranial pressure were utilized immediately before and after lumbar puncture. In 12 patients, a decrease in ventricular size and in anterior fontanel pressure could be effected with each lumbar puncture. In these infants, cessation of progression of the hydrocephalus and intermittent decreases in ventricular size were accomplished. In four patients, lumbar punctures were not successful in decreasing ventricular size or lowering intracranial pressure. Two criteria could be defined to determine whether lumbar puncture could provide at least temporary benefit for the treatment of posthemorrhagic hydrocephalus. The first of these is to establish the presence of communication between lateral ventricles and lumbar subarachnoid space by effecting a decrease in ventricular size and a decrease in intracranial pressure by removal of CSF. The second criterion is to ascertain a critical volume of CSF (usually relatively large) that must be removed in order to effect the above changes. Cranial ultrasonography and measurement of intracranial pressure by application of the Ladd monitor to the anterior fontanel are extremely valuable in the evaluation of lumbar punctures in the management of posthemorrhagic hydrocephalus.
K L Kreusser, and
T J Tarby, and
E Kovnar, and
D A Taylor, and
A Hill, and
J J Volpe
August 1980,
The Journal of pediatrics,
K L Kreusser, and
T J Tarby, and
E Kovnar, and
D A Taylor, and
A Hill, and
J J Volpe
December 1986,
The Journal of pediatrics,
K L Kreusser, and
T J Tarby, and
E Kovnar, and
D A Taylor, and
A Hill, and
J J Volpe
September 1985,
The Journal of pediatrics,
K L Kreusser, and
T J Tarby, and
E Kovnar, and
D A Taylor, and
A Hill, and
J J Volpe
January 2012,
Neonatology,
K L Kreusser, and
T J Tarby, and
E Kovnar, and
D A Taylor, and
A Hill, and
J J Volpe
January 1998,
Neurosurgery clinics of North America,
K L Kreusser, and
T J Tarby, and
E Kovnar, and
D A Taylor, and
A Hill, and
J J Volpe
August 1980,
The Journal of pediatrics,
K L Kreusser, and
T J Tarby, and
E Kovnar, and
D A Taylor, and
A Hill, and
J J Volpe
October 1995,
Pediatric neurology,
K L Kreusser, and
T J Tarby, and
E Kovnar, and
D A Taylor, and
A Hill, and
J J Volpe
January 2009,
European neurology,
K L Kreusser, and
T J Tarby, and
E Kovnar, and
D A Taylor, and
A Hill, and
J J Volpe
June 2023,
American journal of perinatology,
K L Kreusser, and
T J Tarby, and
E Kovnar, and
D A Taylor, and
A Hill, and
J J Volpe
October 2019,
Early human development,
