Pediatria pre prax 5/2017

Surgical treatment of perinatal intracranial hemorrhage

Perinatal intracranial hemorrhage is serious complication during brain development resulting in different degree of psychomotor retardation. According to its origin, hemorrhage can be defined as traumatic and nontraumatic. Thanks to modern care in gynecology and neonatology, traumatic injury is rare but intraventricular bleeding of premature infants still remains crucial event in postnatal care, despite of technological achievements in the last decades, there is no essential improvement in prognosis for such patients. Article describes types of traumatic hemorrhages and deals with the topic of intraventricular bleeding of premature infants and options for surgical treatment. This work also includes reviews of foreign authors and their experience with the treatment of intracranial hemorrhage from departments with enough cases for statistical analysis of treatment modalities.

Keywords: intracranial hemorrhage, hydrocephalus, premature infant, germinal matrix, VP shunt