Özet:

Purpose: This study aims to review the neurochirurgical surgical methods and results applied to 6 patients with intraventricular hemorrhage derived from germinal matrix operated in the brain and nerve surgery clinic between January 2016 and March 2020. Method: In the relevant institution between January 2016-March 2020, the intraventricular hemorrhage derived from the germinal matrix was performed for pre-operative diagnosis transfontaneous ultrasound, brain magnetic resonance imaging, brain tomography examinations. Patients were applied external ventricular drainage system, endoscopic third ventricleostomy, endoscopic septostomy, ventricle-peritoneal shant, transaraknoid ponction as a surgical procedure. Patients post operational 1.3,6. Over the months, they were monitored by brain tomography and magnetic resonance imaging. Results: Six patients born between 26 and 32 weeks of pregnancy were premature and low birth weight. Three of them were men and three were angry. Only one of them was twins. The pregnancy weight of prematurial patients was between 900g and 1825g. The result is that the monitoring of the external ventricular drainage system in hydrosephals associated with intravenous hemorrhoids that develop in premature low-born babies until the baby's birth weight exceeds 2000 grams is considered to be better in terms of prognosis, with the planning made within the appropriate timing without preference of endoscopic third ventricularostomy.

Özet:

Aim: In this study, it was aimed to investigate retrospectively the neurosurgical surgery methods and their results in 6 patients with intraventricular hemorrhage originating from germinal matrix who were operated in the Brain and Nerve Surgery Clinic between January 2016 and March 2020. Methods: Between January 2016 and March 2020, six premature patients with intraventricular hemorrhage originating from the germinal matrix were subjected to transfontanel ultrasonography, brain magnetic resonance imaging, and cerebral tomography for pre-operative diagnosis purposes. External ventricular drainage system, endoscopic third ventriculostomy, endoscopic septostomy, ventriculo-peritoneal shunt, transarachnoid puncture were performed as surgical procedures to the patients. The patients were followed up with control brain tomography and magnetic resonance imaging at postoperative 1,3 and 6. months. Results: Six patients born between 26 and 32 weeks of gestation were premature and low birth weight. Three of them were boys and three were girls. Only one of the girls was a twin. The birth weight of premature patients whose birth type was cesarean section varied between 900gr and 1825gr. Conclusion: Hydrocephalus due to intraventricular hemorrhages in premature low birth weight babies, it is thought to be better in terms of prognosis following by external ventricular drainage system, ventriculoperitoneal shunt application with planning made in an appropriate timing without preferring endoscopic third ventriculostomy except in mandatory cases until the baby's birth weight exceeds 2000 g.

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