Jan 22, 2008

At a glance

1- Spontaneous preterm birth at 31 weeks + 1/7 day at DEMC on January 14, 2008. Sent immediately to Hospital Sungai Buloh, Selangor, Malaysia.

2- Newborn complications on day 3 (apnea, bradycardia, lungs hemorrhage resulting low oxygen which affected her brain. Thus, it leads to brain injury called IVH - Intraventricular Hemorrhage).

3- Severe IVH, graded as 3rd degree on left brain and 4th on the right brain.

4- Developed communicating & acquired hydrochepalus.

5- First CT scan on 13 February 2008.

6- First EVD on 14 February 2008.

7- 2nd EVD on 28 February 2008. She got meningitis after this surgery.

8- Brought home on 31 March 2008 after 77 days staying in NICU. The discharge summary stated there's no further growth.

9- 2nd CT scan on 10 June 2008.

10- 1st VP shunt on 11 June 2008. Stayed in HSB for 9 days.

11- 3rd CT scan on 15 October 2008. Pre-op diagnosis - suboptimal shunt function. General physical examination - active, AF soft, swelling around reservoir, shunt compressible but slow refilling.

12- 1st shunt revision on 29 October 2008. Brought home on Saturday, 1 November 2008.

13- Noticed bruised on her reservoir on 06 December 2008.

14- Brought to HSB on 09 December 2008 (without appointment).

15- 4th CT scan on 10 December 2008.

16- Scheduled for 2nd shunt revision on 11 December 2008. Pre-op diagnosis - shunt infection.

17- OP done on Friday, 12 December 2008.

18- Discharged on Monday, 22 December 2008 after being warded for 12 days.

19- Neuro appointment on 15 January 2009. Neurologist suggested for another revision as her AF was bulging eventhough shunt was compressible.

20- Have her surgery the next day on 16 January 2009 (Friday). Post-op diagnosis - blockage at the distal end.

21- Discharged on Monday, 19 January 2009 after staying in the hospital for 5 days.

1- Shunt is working well until today, alhamdulillah.

2- Hydrocephalus (pronounced /ˌhaɪdrəˈsɛfələs/) is a term derived from the Greek words "hydro" meaning water, and "cephalus" meaning head, and this condition is sometimes known as "water on the brain". People with hydrocephalus have abnormal accumulation of cerebrospinal fluid (CSF) in the ventricles, or cavities, of the brain. This may cause increased intracranial pressure inside the skull and progressive enlargement of the head, convulsion, and mental disability.

Hydrocephalus is usually due to blockage of CSF outflow in the ventricles or in the subarachnoid space over the brain. In a person without hydrocephalus, CSF continuously circulates through the brain, its ventricles and the spinal cord and is continuously drained away into the circulatory system. Alternatively, the condition may result from an overproduction of the CSF fluid, from a congenital malformation blocking normal drainage of the fluid, or from complications of head injuries or infections.[1]


Dalam bahasa paling mudah, hydrocephalus merujuk kepada bayi berkepala besar.


Blog Widget by LinkWithin