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Bedside transfontanelle drain placement reduces the need for operative intervention in infants with subdural fluid collections.
Childs Nerv Syst
December 2024
Department of Neurosurgery, Children's Hospital Colorado, Aurora, CO, USA.
Objective: Subdural fluid collection is a common neurosurgical condition in the pediatric population. Patients requiring surgical intervention have historically been managed with subdural drains, subdural-subgaleal shunting, subdural-peritoneal shunting, and mini-craniotomies. An alternative procedure for patients with an open anterior fontanelle is bedside transfontanelle drainage.
View Article and Find Full Text PDFIntraoperative transfontanelle ultrasonography for pediatric patients.
Anesth Pain Med (Seoul)
October 2024
Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Cerebral blood flow (CBF) plays a vital role in delivering cerebral oxygen, and the accurate assessment of CBF is crucial for the intraoperative management of critically ill infants. Although the direct measurement of CBF is challenging, CBF velocity (CBFV) can be assessed using transcranial Doppler. Recent advances in point-of-care ultrasound have introduced brain ultrasound as a feasible intraoperative option, in which transfontanelle ultrasonography (TFU) has been applied to measure the CBFV through the anterior fontanelle.
View Article and Find Full Text PDFTreatment of depressed skull fractures with vacuum devices in the neonatal period: A case series.
Childs Nerv Syst
April 2024
Department of Neurosurgery, Universidade Federal de São Paulo, Rua Napoleão de Barros 715, 6th Floor, 04024-002, São Paulo, SP, Brazil.
Purpose: The management of depressed skull fractures in infants can be either conservative or surgical. This study aimed to examine the outcomes of management with a negative-pressure vacuum device on depressed skull fractures in newborns.
Methods: Twenty-eight patients (aged 1-6 days) with simple depressed skull fractures underwent skull elevation using negative-pressure vacuum devices.
Transfontanelle photoacoustic imaging of intraventricular brain hemorrhages in live sheep.
Photoacoustics
October 2023
Richard and Loan Hill Department of Bioengineering, University of Illinois at Chicago, Chicago, IL, United States.
Intraventricular (IVH) and periventricular (PVH) hemorrhages in preterm neonates are common because the periventricular blood vessels are still developing up to 36 weeks and are fragile. Currently, transfontanelle ultrasound (US) imaging is utilized for screening for IVH and PVH, largely through the anterior fontanelle. However for mild hemorrhages, inconclusive diagnoses are common, leading to failure to detect IVH/PVH or, when other clinical symptoms are present, use of second stage neuroimaging modalities requiring transport of vulnerable patients.
View Article and Find Full Text PDFDevelopment and characterization of transfontanelle photoacoustic imaging system for detection of intracranial hemorrhages and measurement of brain oxygenation: .
Photoacoustics
August 2023
University of Illinois at Chicago, Department of Biomedical Engineering, Chicago, IL, United States.
We have developed and optimized an imaging system to study and improve the detection of brain hemorrhage and to quantify oxygenation. Since this system is intended to be used for brain imaging in neonates through the skull opening, i.e.
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