In one paragraphArticle in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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What it found
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2 · The registryThe trial behind it
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3 · Its place in the literatureWho cites it
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4 · The recordCorrections and comments
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5 · Who and what moneyAuthors and funding
22 authors.
J P F BertensDivision of Paediatric Neurosurgery, Department of Neurosurgery, Sophia Children's Hospital, Erasmus University Medical Centre, Rotterdam, The Netherlands. j.p.f.bertens@amsterdamumc.nl.ORCID 0009-0009-8579-886X P A WoerdemanDivision of Neuroscience, Department of Neurology and Neurosurgery, Paediatric Neurosurgery Wilhelmina Children's Hospital, University Medical Centre Utrecht, Utrecht, The Netherlands.ORCID 0000-0002-6101-6407 L S de VriesDivision of Neonatology, Department of Paediatrics, Willem-Alexander Children's Hospital, Leiden University Medical Centre, Leiden, The Netherlands.ORCID 0000-0002-7282-8304 G E van den BoschDivision of Neonatology, Department of Neonatal and Paediatric Intensive Care, Sophia Children's Hospital, Erasmus University Medical Centre, Rotterdam, The Netherlands.ORCID 0000-0003-1862-1334 S J SteggerdaDivision of Neonatology, Department of Paediatrics, Willem-Alexander Children's Hospital, Leiden University Medical Centre, Leiden, The Netherlands.ORCID 0000-0002-5603-5697 J K H SpoorDivision of Paediatric Neurosurgery, Department of Neurosurgery, Sophia Children's Hospital, Erasmus University Medical Centre, Rotterdam, The Netherlands.ORCID 0000-0003-1183-4775 L S SmitDivision of Neonatology, Department of Neonatal and Paediatric Intensive Care, Sophia Children's Hospital, Erasmus University Medical Centre, Rotterdam, The Netherlands.ORCID 0000-0003-4176-9310 D R BuisDivision of Paediatric Neurosurgery, Department of Neurosurgery, Emma Children's Hospital, Amsterdam University Medical Centre, Amsterdam, The Netherlands.ORCID 0000-0002-7411-5383 R W KootDivision of Paediatric Neurosurgery, Department of Neurosurgery, Willem-Alexander Children's Hospital, Leiden University Medical Centre, Leiden, The Netherlands.ORCID 0009-0006-3090-8214 M W AalbersDivision of Paediatric Neurosurgery, Department of Neurosurgery, Amalia Children's Hospital, Radboud University Medical Centre, Nijmegen, The Netherlands.ORCID 0000-0003-1579-1952 H R JeltemaDivision of Paediatric Neurosurgery, Department of Neurosurgery, Beatrix Children's Hospital, University Medical Centre Groningen, Groningen, The Netherlands.ORCID 0000-0002-3529-2707 J van AalstDivision of Paediatric Neurosurgery, Department of Neurosurgery, Mosakids Children's Hospital, Maastricht University Medical Centre, Maastricht, The Netherlands.
N E van der AaDepartment of Neonatology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Utrecht, The Netherlands.ORCID 0000-0001-6011-2854 M L TatarannoDepartment of Neonatology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Utrecht, The Netherlands.ORCID 0000-0002-8304-5399 L C WeekeDepartment of Neonatology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Utrecht, The Netherlands.ORCID 0000-0003-4091-3819 H J Ter HorstDepartment of Paediatrics, Beatrix Children's Hospital, University Medical Centre Groningen, Groningen, The Netherlands.ORCID 0009-0004-6847-9326 T R de HaanDivision of Neonatology, Department of Paediatrics, Emma Children's Hospital, Amsterdam University Medical Centre, Amsterdam, The Netherlands.ORCID 0000-0002-8893-3918 R J VermeulenDepartment of Paediatrics, Mosakids Children's Hospital, Maastricht University Medical Centre, Maastricht, The Netherlands.ORCID 0000-0001-8465-675X K P DijkmanDivision of Neonatology, Department of Paediatrics, Máxima Medical Centre, Veldhoven, The Netherlands.ORCID 0000-0003-0765-929X S M Mulder-de TollenaerDivision of Neonatology, Department of Paediatrics, Isala Women's and Children's Hospital, Zwolle, The Netherlands.ORCID 0000-0001-5847-6886 E Roze *Division of Neonatology, Department of Neonatal and Paediatric Intensive Care, Sophia Children's Hospital, Erasmus University Medical Centre, Rotterdam, The Netherlands.ORCID 0009-0004-3105-9352 O H J Eelkman Rooda *Division of Paediatric Neurosurgery, Department of Neurosurgery, Sophia Children's Hospital, Erasmus University Medical Centre, Rotterdam, The Netherlands.ORCID 0000-0002-6407-0863 Funding
No grant is acknowledged in the PubMed record.
6 · The paper itselfAbstract
purposePost-haemorrhagic ventricular dilatation (PHVD) is a severe complication of germinal matrix-intraventricular haemorrhage in preterm infants and is associated with significant morbidity and adverse neurodevelopmental outcomes. In 2023, national recommendations for PHVD management were revised, but implementation has not been evaluated. We aimed to assess diagnostic and therapeutic practices across Dutch neonatal intensive care units (NICUs), quantify inter-centre variation, and provide a basis for a national PHVD registry. MATERIALS AND
methodsA nationwide, cross-sectional survey was disseminated among representatives from nine Dutch NICUs and seven affiliated paediatric neurosurgical departments. Per centre, one paediatrician and paediatric neurosurgeon reported institutional practices regarding monitoring, cerebrospinal fluid (CSF) drainage thresholds, temporising interventions, permanent CSF diversion criteria, follow-up, and research priorities. Practices were compared to the Dutch guideline.
resultsAll NICUs and neurosurgical centres responded. PHVD case volume varied (< 5 patients/year in 3/9 centres; > 20 in 1/9). Diagnostic thresholds were ventricular index > 97th percentile and anterior horn width > 6 mm in 7/9 centres, with higher or additional criteria in 2/9. Initial temporising management consisted of serial lumbar punctures and ventricular access device (VAD) placement. VAD tap duration before permanent diversion was typically 4-6 weeks (6/7). Ventriculoperitoneal shunting was the preferred permanent intervention in all centres, with weight thresholds of 2.0-2.5 kg.
conclusionFollowing implementation of a national guideline, PHVD management in Dutch NICUs demonstrates high consistency in core diagnostics and treatment principles, showing that national standardisation of PHVD care is feasible. Residual variation is concentrated in areas where evidence remains limited, identifying priorities for future collaborative research.
Indexed as
Cerebral HemorrhageCerebral VentriclesPractice Guidelines as TopicCross-Sectional StudiesDilatation, PathologicHumansInfant, NewbornInfant, PrematureIntensive Care Units, NeonatalNetherlandsCerebrospinal fluid diversionClinical practice variationNational surveyPost-haemorrhagic ventricular dilatationPreterm infants
Identifiers
PMID42789096
PMCPMC13615105
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