Outcome of infants with hydrocephalus findings on Intra-Uterine Ultrasound (USG) examination at Dr. Soetomo Hospital, Surabaya, Indonesia, in 2015-2017

Lourin Nova, Mohammad Aldika Akbar, Agus Sulistyono, Wihasto Suryaningtyas, Prastiya Indra Gunawan

= http://dx.doi.org/10.20473/mog.V27I32019.133-139
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Objectives: to report the outcome of cases with hydrocephalus findings on intra-uterine ultrasound (USG) examinations which happened between January 2015 - December 2017 at Dr. Soetomo Hospital.

Case Report: During the period of January 2015 - December 2017, 20 pregnant women were found who performed an ante natal examination and obtained the fetus with hydrocephalus on intra uterine ultrasound examination. At the time of delivery, out of a total of 20 cases, all babies were born alive, but only 12 babies performed shunting operations with VP Shunt. But at the time of follow up the condition of the baby when the search of this case, found only 7 cases with living conditions. This is probably due to non-routine post-action control to ensure shunt conditions and complications that can result from shunt or other conditions. As seen from the growth and development of 7 surviving children, all cases with normal growth conditions were established based on WHO growth curve and developmental obstacles in all cases with evaluation using DDST II.

Conclusion: Ultrasound examination is useful for determining the fetal prognosis, but for fetoscopic examination and intra uterine operative action remains controversial. Similarly, to determine the exact termination time and delivery mode. Pre-natal counseling and examination is required in mothers with a history of fetal hydrocephalus in previous pregnancies. With routine control is expected better outcomes in fetal hydrocephalus.


fetal hydrocephalus; outcome; intra uterine; ultrasound

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Satyanegara, Hasan R, Abubakar S, Maulanan A. Hidrosefalus. In: Ilmu Bedah Saraf. 3rd ed. Jakarta Selatan: Gramedia Pustaka Utama; 1998.

Chatterjee S, Chatterjee U. Overview of post-infective hydrocephalus. Child’s Nervous System. 2011.

Walker ML. Cerebrospinal fluid physiology: Problems and possibilities. In: Clinical Neurosurgery. 2011. p. 65–71.

Ibrahim S, Rosa AB, Harahap AR. Hydrocephalus in children. In: Sastrodiningrat AD, ed. Neurosurgery lecture notes. Medan: USU Press; 2012. P.671-80.

Melo JRT, De Melo EN, De Vasconcellos ÂG, Pacheco P. Congenital hydrocephalus in the northeast of Brazil: Epidemiological aspects, prenatal diagnosis, and treatment. Child’s Nerv Syst. 2013.

Nielsen N, Breedt A. Hydrocephalus. In: Nursing Care of the Pediatric Neurosurgery Patient. Berlin Heidelberg: Springer; 2013.

Van Landingham M, Nguyen T V., Roberts A, Parent AD, Zhang J. Risk factors of congenital hydrocephalus: A 10 year retrospective study. J Neurol Neurosurg Psychiatry. 2009;80:213–7.

Tully HM, Capote RT, Saltzman BS. Maternal and infant factors associated with infancy-onset hydrocephalus in Washington state. Pediatr Neurol. 2015;52(3):320–5.

Hobbins JC. Obstetric Ultrasound: Artistry in Practice. Obstetric Ultrasound: Artistry in Practice. Blackwell Publishing; 2008.

Callen PW, Hashimoto BE, Newton TH. Sonographic evaluation of cerebral cortical mantle thickness in the fetus and neonate with hydrocephalus. J Ultrasound Med. 1986;5:251–5.

Merz E, Bahlmann F. Ultrasound in Obstetrics and Gynecology: Textbook and Atlas. Thieme. 2005;1.

Paladini D, Volpe P. Ultrasound of Congenital Fetal Anomalies. Ultrasound of Congenital Fetal Anomalies. Informa Healthcare; 2007.

Jong W, Sjamsuhidajat R.. Buku ajar ilmu bedah. Jakarta: EGC; 2004(2):809-10

Smith FW, Dworkin JS. The craniocervical syndrome and MRI. The Craniocervical Syndrome and MRI. Karger; 2015.

Penzkofer AK, Pfluger T, Pochmann Y, Meissner O, Leinsinger G. MR imaging of the brain in pediatric patients: Diagnostic value of HASTE sequences. Am J Roentgenol. 2002;179(2):509–14.

Hoppe-Hirsch E, Laroussinie F, Brunet L, Sainte-Rose C, Renier D, Cinalli G, et al. Late outcome of the surgical treatment of hydrocephalus. Child’s Nerv Syst. 1998;14:97–9.

1. Persson E-K, Hagberg G, Uvebrant P. Hydrocephalus in children-epidemiology and outcome. Cerebrospinal Fluid Res. 2004.

Al-Turkistani HK. Dandy-walker syndrome. J Taibah Univ Med Sci. 2014;9(3):209-12.

Chervenak FA, Berkowitz RL, Tortora M, et al. Management of fetal hydrocephalus. Am J Obstet Gynecol 1985;151:933–942.

Chasen S, Chervenak FA, McCullough LB. The role of cephalocentesis in modern obstetrics. Am J Obstet Gynecol 2001; 185: 734–736.


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