Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Neonatology (Expert Forum)
VP shunt
Answered by
University of California, San Francisco
San Francisco - CA
Questions in the Neonatology Forum are being answered by doctors at University of California, San Francisco.
VP shunt
by hassanulm, Sep 06, 2009 05:26AM
My daughter was born at the age of 31 weeks she was 2 months pre mature.After the birth she had problem to breathe and was not injected surfactant, resulting in RDS she stayed in hospital for 3 weeks and was discharge on 23 of may 09. In june her head size was 32 cm which increased to 38 within 10 days.took her to neuro surgen suggested to get CT. After CT she was diagnosed with Aquaducteral Stenosis. Doctor recommended to insert Vp shunt medium pressure. operation was don on 29 of june 09. operation was success and we took her back home. After 2 weeks of surgery we found that head size is increasing again and it jumped from 38cm to 39 cm, Doctor suggested to take her MRI which confirmed that Ventricles are still dilated and the size are LT 2.5 cm RT 2.1 cm 3rd 1.5 cm. Doctor discussed with us and said that we have to replace the medium pressure shunt to low pressure shunt cause pressure is too low. on 19th august 09 2nd surgery was done with low pressure burr hole medtronic shunt. Now after almost 16 days of surgery we fount that fontanal is not that much depressed as it was 4 days back we took her back to Doctor where he suggested us to get a cranial ultrasound . in that ultrasound radiologist has reported as follows:
(unilateral enlargment of lateral ventrical RT side 11mm LT frontal shouls tip of vp shunt 3rd ventrical is 09mm 4rth ventrical is not enlarged. midline shift is seen on LT side in frontal area no bleed or mass seen , plexsus appears normal vp shunt seen crossing in to the left side
Conclusion:unilateral hydrocephalus
aquaduct stenosis
We discussed with doctor he said that after 4 weeks visit again
I am not satisfied with his answer i feel like fontenal is blogy baby is sleeping most of the time very rare she wakes up for feed. intake is a about 3 ounce every four hours.
My question is that left ventricle is empty and right is still dilated is this safe or is there any thing to worry
What we have to do now
(unilateral enlargment of lateral ventrical RT side 11mm LT frontal shouls tip of vp shunt 3rd ventrical is 09mm 4rth ventrical is not enlarged. midline shift is seen on LT side in frontal area no bleed or mass seen , plexsus appears normal vp shunt seen crossing in to the left side
Conclusion:unilateral hydrocephalus
aquaduct stenosis
We discussed with doctor he said that after 4 weeks visit again
I am not satisfied with his answer i feel like fontenal is blogy baby is sleeping most of the time very rare she wakes up for feed. intake is a about 3 ounce every four hours.
My question is that left ventricle is empty and right is still dilated is this safe or is there any thing to worry
What we have to do now
Doctor's Answer
by Yao Sun, MD, PhD, Sep 07, 2009 12:26AM
, Sep 07, 2009 12:26AM
I am not qualified to answer any questions in the scenario you have described. If you truly want a 2nd opinion, you should discuss that with your daughter's neurosurgeon.
