FETAL SURGERY FOR HYDROCEPHALUS - SUCCESSFUL IN UTERO VENTRICULOAMNIOTIC SHUNT FOR DANDY-WALKER SYNDROME

Google Scholar
  • 1 January 1983
    • journal article
    • research article
    • Vol. 61  (6) , 710-714
Abstract
Diagnosis of fetal hydrocephalus based on dilation of the ventricular system presents a broad range of management decisions. Options are presented and a case of Dandy-Walker syndrome managed by fetal ventriculoamniotic shunt placement is presented as an example. Under ultrasonic guidance, a shunt was placed at 30 wk gestion by later newborn Dubowitz examination. Delivery was delayed for 5 wk, 1-2 wk following probable shunt malfunction, after achieving fetal lung maturation. Follow-up 6 mo. after definitive neonatal ventricular shunting and 3 wk after shunt revision revealed a socially active infant boy with a motor development index of 87 and a psychomotor development index of 95. Potential advantages of fetal surgery including achievement of term gestation are presented. Proposed guidelines for determining the benefit of such procedures are also presented.

This publication has 1 reference indexed in Scilit: