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The Journal of Maternal-Fetal & Neonatal Medicine Volume 24, 2011 - Issue 2
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Original Article

External hydrocephalus in discordant birth weight twins: a case report

Francesca GalliniDivision of Neonatology, Department of Pediatrics, Catholic University of the Sacred Heart, Rome, Italy
,
Giovanni BaranelloPediatric Neurology Unit, Catholic University of the Sacred Heart, Rome, Italy
,
Francesca SerraoDivision of Neonatology, Department of Pediatrics, Catholic University of the Sacred Heart, Rome, Italy
,
Paolo Alfieri
,
Francesco CotaDivision of Neonatology, Department of Pediatrics, Catholic University of the Sacred Heart, Rome, Italy
,
Luca MaggioDivision of Neonatology, Department of Pediatrics, Catholic University of the Sacred Heart, Rome, Italy
,
Gianpiero TamburriniPediatric Neurology Unit, Catholic University of the Sacred Heart, Rome, Italy
,
Costantino RomagnoliDivision of Neonatology, Department of Pediatrics, Catholic University of the Sacred Heart, Rome, Italy
&
Eugenio MercuriPediatric Neurology Unit, Catholic University of the Sacred Heart, Rome, ItalyCorrespondence[email protected]
 show all
Pages 337-340 | Received 03 Aug 2008, Accepted 07 May 2010, Published online: 07 Jul 2010
 
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Abstract

The term “external hydrocephalus (EH)” is used to describe excessively rapid head growth in infants who are found to have enlarged subarachnoid spaces and little or no ventricular enlargement. EH has not yet been described in discordant birth weight twins.

We report the cases of two sets of discordant twins with normal neonatal course and normal neonatal brain ultrasound scans who developed an EH in the first months after birth and had a mild neurodevelopmental delay.

Our findings suggest that EH may be part of neurologic morbidity in discordant birth weight twins and represents one of the potential complications to look for in the follow-up of these infants.

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

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