{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T10:22:04Z","timestamp":1787653324123,"version":"build-2736575974"},"reference-count":27,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2025,7,26]],"date-time":"2025-07-26T00:00:00Z","timestamp":1753488000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Background and objectives: Neurosurgical intervention on the newborn\u2019s developing brain is a risk factor for neurodevelopmental disorders (NDDs). These patients necessarily require regular, coordinated follow-up. The ventricular subgaleal shunt (VSGS) technique has been used since 2013 at Rouen University Hospital. Like any change in practice, this technique must be evaluated. In this paper, we describe the population of patients with hydrocephalus treated by VSGS, the complications associated with the procedure, and the outcome of these patients at two and six years old. Methods: This study was an observational, descriptive, retrospective, single-center study. Children included were those less than three months old with hydrocephalus treated by VSGS at Rouen University Hospital from January 2013 to December 2023. Data were anonymized and collected using EDSaN software. A descriptive analysis was performed. Results: Thirty-two patients were included in our study. Of these, 22 (69%) were born prematurely; 16 (50%) of these 22 had postnatal intraventricular hemorrhage (IVH) requiring treatment with VSGS. A total of three patients (13.6%) died within the first year of life; twenty-four patients (75%) required definitive shunting. Twenty-two patients were over 2 years old in our study. Only 10 of them acquired the ability to walk (45%). Cerebral palsy was present in 10 (45%) patients. Fifteen patients were over 6 years old; thirteen (87%) attended school, but six (40%) had special needs (the need of an assistant, or part-time schedule). In our study, only 24 patients (82%) were followed by a pediatrician trained in neurodevelopment at Rouen University Hospital, and 27 (93%) were followed by a neurosurgeon. Conclusions: This study describes all patients with hydrocephalus treated by VSGS at Rouen University Hospital between January 2013 and December 2023, as well as their complications and their neurological outcomes. The follow-up of these children at risk of NDDs is essential.<\/jats:p>","DOI":"10.3390\/children12080983","type":"journal-article","created":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T14:50:03Z","timestamp":1753714203000},"page":"983","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Ventricular Subgaleal Shunt in Children Under Three Months of Age, from Diagnosis to Outcome: A Review After 11 Years of Experience in a French University Hospital"],"prefix":"10.3390","volume":"12","author":[{"given":"Timoth\u00e9e","family":"Follin-Arbelet","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Rouen University Hospital, 37 Bd Gambetta, 76000 Rouen, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Chadie","sequence":"additional","affiliation":[{"name":"Department of Neonatal Pediatrics, Intensive Care and Neuropediatrics, Rouen University Hospital, 37 Bd Gambetta, 76000 Rouen, France"},{"name":"INSERM Unit 1245, Team 4, Rouen School of Medicine, Normandy University, 76000 Rouen, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Baptiste","family":"Muller","sequence":"additional","affiliation":[{"name":"Department of Neonatal Pediatrics, Intensive Care and Neuropediatrics, Rouen University Hospital, 37 Bd Gambetta, 76000 Rouen, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Curey","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Rouen University Hospital, 37 Bd Gambetta, 76000 Rouen, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julien","family":"Grosjean","sequence":"additional","affiliation":[{"name":"Department of Biomedical Informatics, Rouen University Hospital, and Analyse Int\u00e9gr\u00e9e Multimodale en Sant\u00e9 (AIMS) Lab, University of Rouen Normandy, 76000 Rouen, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e9cile","family":"Toulemonde","sequence":"additional","affiliation":[{"name":"Department of Neonatal Pediatrics, Intensive Care and Neuropediatrics, Rouen University Hospital, 37 Bd Gambetta, 76000 Rouen, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2858-148X","authenticated-orcid":false,"given":"St\u00e9phane","family":"Marret","sequence":"additional","affiliation":[{"name":"Department of Neonatal Pediatrics, Intensive Care and Neuropediatrics, Rouen University Hospital, 37 Bd Gambetta, 76000 Rouen, France"},{"name":"INSERM Unit 1245, Team 4, Rouen School of Medicine, Normandy University, 76000 Rouen, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,7,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e467","DOI":"10.1542\/neo.19-8-e467","article-title":"Neonatal Hydrocephalus","volume":"19","author":"Flanders","year":"2018","journal-title":"NeoReviews"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"100969","DOI":"10.1016\/j.spen.2022.100969","article-title":"Diagnosis and Surgical Management of Neonatal Hydrocephalus","volume":"42","author":"Pindrik","year":"2022","journal-title":"Semin. 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