hydrocephalus

today i am going to get C T scan of her brain.
Some details are my wife had spotting in 31 week and had a routine medical checkup which ended up in placenta repture c section was done and baby was delivered with 1.7 kg wt. at that time she cried and was sent to nursery. after 18 hr in hospital she had nemothorex tubes were inserted on both sides. during this she was shifted on ventilator. all this carried on for 7 days during this time crp level went up to 75 antibiotics were given after that she started to recover slowly and was discharged from hospital.on 27 may 09 cranial usg was done and the report is as follows;
both lateral ventricales are diluted each measuring 2.4cm in diameter 3rd is diluted measuring 1.2 cm in diameter 4rth is not diluted
no other abnormality detected.
cerfical thickness is 1.5 cm

impression hydrocephalus
obstructive

today we met one neuro surgen suggested us to go for ct scan after might have to insert shunt.

this is the brief history

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 found 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
now we took latest mri on 09 nov 09 which shows that frontal horns are empty but tamporal horns aredilated espeically the Rt side baby is sleepy and drowzi all the time Doc suggest to have repeat Surgery with medium shunt or they have to drain water from temporal horns with another shunt on left side. i am attaching the pics of latest mri Please any one have knowledge of what is the actual problem please discuss

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HYDROCEPHALUS
Baby girl born premature 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 (hydrocephalus). Doctor recommended inserting VP shunt medium pressure. Operation was done 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. After 1 month took MRI and found that frontal horns are not dilated but there is a cystic on right side of temporal lobe which is pushing the mid line and size of 1/3 of brain. Baby was becoming slow and drowsy another scan was done in DEC 09 which was almost the same. took her to another doctor and surgery # 3 was done on 24 DEC 09 from upper end shunt was removed and was redirected into that cystic after almost 20 days of surgery pressure was rebuild and mri showed that both lateral and temporal lopes are dilated.doc diagnosed that lower end is blocked which he cleaned with surgery # 4 done on 22 Jan 10. after 10 days of # 4 surgery she was in the same condition took her back to doctor and he said that lower end is blocked again which was cleaned with surgery # 5 done on 3 Feb. 10. In all these surgeries i.e. 3, 4, 5 shunt was not changed only cleaning and redirection was done. After 15 days of surgery # 6 she went back to the same condition and mri shows that system is still dilated.
Discussed with another doctor who suggested us to go for an endoscopy instead of re shunting. We took her to hospital on 27/02/10 where he attempted to do endoscopy but during surgery he said that ETV cannot be done because brain is tilted to one side and cannot make a path to go down. He attempted to make connection between lateral and temporal horn by making holes in between them and he re shunted her again with low pressure Medtronic shunt. Now after almost 20 days of surgery girl is still in same condition and further cannot decide what to do with her.