Hernández HRJ, Ramos GR, Aníbal VC, Flores DJM, García QF

Language: Spanish
References: 14
Page: 67-70
PDF size: 147.32 Kb.

ABSTRACT

Introduction: The ventricular haemorrhage is extremely rare in fetal life and in term neonates; there are few reports detected prenatally. Case report: From first gestation a 30 year old women was referred with diagnosis of severe fetal hydrocephaly detected at 34 gestation weeks, pregnancy ended in caesarean obtaining a not asphyxiated 2.8 kg male. The cephalic diameter was normal. The cranial tomography confirmed important ventricle dilatation, and inserted a ventricle-derivation valve. The cerebrospinal fluid reported 68,500 red cells, 90% crenozed, bilirrubin +, proteins › 522 mg/dL and lactic dehydrogenase 3,869 UI/L. In control tomography the ventricle size diminished 60-80%, the patient was discharge asymptomatic one week after surgery. Conclusion: The ventricle enlargement was first observed at 34 gestation weeks, detecting fetal hydrocephaly, but ventricular haemorrhage was confirmed, and achieved substantial reduction of the ventricle size after early derivation.

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