J Neurol Surg A Cent Eur Neurosurg 2015; 76 - A069
DOI: 10.1055/s-0035-1566388

Ommaya Reservoir for Treatment for Hydrocephalus in Premature Infants with Intraventricular Hemorrhage

M. Mihajlović 1, M. Mrdak 1, I. Nikolić 2, 3, N. Repac 2, A. Janićijević 2, V. Šćepanović 2, M. Stojsavljević 2, L. Rasulić 2, 3, G. Tasić 2, 3
  • 1University Pediatric hospital, Belgrade, Serbia
  • 2Clinic for Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia
  • 3Medical Faculty, University of Belgrade, Belgrade, Serbia

Introduction We report a series of 30 patients with spontaneous intraventricular hemorrhage (IVH) and hydrocephalus, in which subcutaneous (Ommaya) tank is placed at the University Children's Hospital in Belgrade from March 2006 to March 2011.

Results Predictors of poor outcome in treatment in getting Ommaya reservoirs are low birth weight (t = 2.560, p = 0.016), low Apgar score (t = 3.059, p = 0.005), an extended number of days on mechanical ventilation (Z = 4,404, p < 0.001), the presence of peripartal asphyxia (X 2 = 9.977, p = 0.002), and cardiorespiratory arrest (X 2 = 12.804, p < 0.001).

Conclusion The outcome of treatment of hydrocephalus caused by spontaneous intraventricular hemorrhage in premature infants is worst in perinatology. There is no consensus on the diagnosis and treatment of posthemorrhage hydrocephalus, our results suggest that the main prediction factor is preoperative condition of the child.

Keywords premature infants; hydrocephalus; Ommaya reservoir