What is your practice in the management of post hemorrhagic hydrocephalus ? When do you intervene, once VIs ( ventricular indices) are above 97th + 4mm centile or only above 97th centile? Do you measure anterior horn width along with VI?

Based on the ELVIS findings, I would argue for a less conservative approach.

https://pubmed.ncbi.nlm.nih.gov/29440132/, https://pubmed.ncbi.nlm.nih.gov/30878207/, https://pubmed.ncbi.nlm.nih.gov/32800815/

We follows VI in those cases. In our limited experience, the "tube of choice" by our ped neurosurgeons in Stockholm is a reservoir (that we empty on a regular basis) rather than a real shunt.

Thanks Stefan. Yes, I wanted to know how many units across the have globe have made changes to their practice based on the ELVIS trial. 

Here is a recent review by the Dutch group https://www.jpeds.com/article/S0022-3476(20)30978-1/fulltext#secsectitle0015

Here is the editorial https://www.jpeds.com/article/S0022-3476(20)31152-5/fulltext

 

 

 

On 11/30/2020 at 12:05 PM, Francesco Cardona said:

Here is a recent review by the Dutch group https://www.jpeds.com/article/S0022-3476(20)30978-1/fulltext#secsectitle0015
Here is the editorial https://www.jpeds.com/article/S0022-3476(20)31152-5/fulltext
 
 
 

@Francesco Cardona Can you share full text of this study

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