Abstract
Loculated hydrocephalus (LH) is caused, most frequently, by meningitis or intraventricular
hemorrhage. However, uniloculated hydrocephalus caused by neonatal intraventricular
hemorrhage is uncommon. We report the case of an infant who developed LH associated
with antenatal intraventricular hemorrhage during the neonatal period. LH was suspected
by routine ultrasonographic examination at 38 weeks' of gestation. A computerized
tomography scan on the 2nd day, after the child was born, confirmed dilatation of
the right lateral ventricle. Furthermore, magnetic resonance imaging examination on
the 6th day suggested subependymal hemorrhage in right lateral ventricle. At 5 months'
of age, the infant underwent endoscopic septum pellucidum perforation for an increase
in ventriculomegaly and also the size of the head circumference. However, 2 months
after surgery, a ventriculo-peritoneal shunt was placed because of reappearance of
ventriculomegaly. Examination of the child, when she was 2 years old, showed improvement
of ventriculomegaly and the child was making appropriate developmental progress.
Keywords
Loculated hydrocephalus - intraventricular hemorrhage - ventriculo-peritoneal shunt
