Subdural Puncture and Effusion Aspiration via Fontanelle
Drainage of subdural fluid through the fontanelle in infants
What is This Treatment?
This procedure involves draining fluid or blood accumulated in the subdural space through a thin needle inserted via the open fontanelle in infants. It is used for diagnosis and treatment of subdural effusions or hematomas, particularly after meningitis-related effusions and traumatic subdural collections.
Benefits
- Can be performed minimally invasively through the open fontanelle
- Rapidly relieves increased intracranial pressure
- Serves both diagnostic and therapeutic purposes
- A safe procedure that can be repeated as needed
Treatment Process
The infant is positioned supine. Under sterile conditions, a thin needle is directed through the fontanelle into the subdural space. Fluid is aspirated in a controlled manner. Ultrasound guidance may be used.
When is it used?
- Treatment of subdural effusions in infants
- Drainage of post-meningitic subdural collections
- Treatment of traumatic subdural hematomas
- Subdural fluid sampling
Recovery and planning
After the procedure, the infant's neurological status and fontanelle tension are monitored. Same-day discharge is usually possible.
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