PEDIATRICS Vol. 83 No. 6 June 1989, pp. 981-985
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Occluded Fourth Ventricle After Multiple Shunt Revisions for Hydrocephalus

Steven B. Coker MD1 and Craig L. Anderson MD1

1 The Department of Neurology, Section of Pediatric Neurology, and the Department of Pediatrics, Section of Neonatology, Stritch School of Medicine, Loyola University of Chicago, Maywood, Illinois

Trapped occluded fourth ventricle has been considered a rare occurrence. Intraventricular hemorrhage followed by repeated shunt revisions may increase the risk (8/47 cases). Because premature infants with intraventricular hemorrhage and shunted hydrocephalus often have preexisting neurologic abnormalities, dilation may produce clinically undetected further neurologic damage. Shunting improved function in both currently treated as well as 13 of 14 previously treated patients. In light of this observation, the importance of recognition is stressed.

Key Words: occluded (trapped) ventricle • intraventricular hemorrhage complication • ventriculoperitoneal shunt complication

Submitted on November 2, 1987
Accepted on February 11, 1988