Ventriculo Subgaleal Shunt (VSG)

Ventriculo-Subgaleal Shunt (VSG) in Bangladesh – Temporary Life-Saving CSF Diversion for Neonatal Hydrocephalus by Dr. Md. Nafaur Rahman Ventriculo-Subgaleal Shunt (VSG) is a temporary, life-saving procedure used in the management of hydrocephalus in neonates and infants, particularly premature or medically unstable babies who are not yet candidates for permanent shunting. In Bangladesh, where congenital and post-infectious hydrocephalus is a growing concern in neonatal care, Dr. Md. Nafaur Rahman, one of the best pediatric neurosurgeons in the country, offers expert VSG surgery as part of a comprehensive early intervention strategy. With years of specialized experience and cutting-edge training in pediatric neurosurgery, Dr. Md. Nafaur Rahman—Assistant Professor at the National Institute of Neurosciences & Hospital (NINS&H) and Chief Consultant at the Bangladesh Paediatric Neurocare Centre—has brought hope to countless families through timely and skillful management of critical neurosurgical conditions in newborns. 🧠 What Is a Ventriculo-Subgaleal Shunt (VSG)? A Ventriculo-Subgaleal Shunt is a temporary cerebrospinal fluid (CSF) diversion technique used in infants with hydrocephalus who are too premature or critically ill for a standard VP (Ventriculo-Peritoneal) shunt. In VSG, a soft catheter is placed from the brain’s ventricle into the subgaleal space (beneath the scalp), where CSF can safely accumulate and be reabsorbed. This reduces intracranial pressure, stabilizes the baby’s neurological status, and buys time for eventual permanent treatment. 👶 Indications for VSG in Neonatal Hydrocephalus In Bangladesh, VSG is commonly indicated in cases of: Post-hemorrhagic hydrocephalus in premature infants Post-infectious hydrocephalus following neonatal meningitis or ventriculitis Congenital hydrocephalus in low birth-weight or preterm babies Infants with ventricular dilatation awaiting VP shunt or ETV eligibility Neonates with intraventricular hemorrhage (IVH) in the NICU ✅ Why Choose VSG in Critical Cases? In Bangladesh’s neonatal intensive care setting, where premature infants often face multiple health risks, VSG serves as an interim but essential solution to relieve dangerous intracranial pressure until a permanent shunt can be safely placed. Benefits include: Immediate reduction in CSF pressure Avoids complications of peritoneal absorption in unstable neonates Allows brain growth and weight gain before definitive surgery Reduces ventilator dependency and improves feeding outcomes Minimal invasiveness compared to VP shunt 🏥 Where Is VSG Available in Bangladesh? Dr. Md. Nafaur Rahman performs VSG procedures at: National Institute of Neurosciences & Hospital (NINS&H) – Dhaka Bangladesh Paediatric Neurocare Centre – Premier pediatric neurosurgery clinic in Bangladesh Equipped with NICU-compatible surgical support, sterile neuroendoscopic tools, and expert anesthesia teams, these centers provide world-class care for neonates in Bangladesh facing life-threatening hydrocephalus. 👨‍⚕️ About Dr. Md. Nafaur Rahman – Trusted Neonatal Neurosurgeon in Bangladesh Dr. Md. Nafaur Rahman is a recognized leader in pediatric and neonatal neurosurgery. His approach combines technical excellence with compassionate care. He specializes in managing neonatal hydrocephalus, rare congenital brain disorders, and complex CSF diversion strategies including VSG, VP shunt, and ETV. Credentials: Assistant Professor, Pediatric Neurosurgery, NINS&H Chief Consultant, Bangladesh Paediatric Neurocare Centre Advanced training in pediatric neuroendoscopy and CSF management Trusted by top neonatologists and NICU teams across the country 🧬 Post-VSG Monitoring and Follow-Up Care Babies who undergo VSG need ongoing neurosurgical follow-up to assess CSF dynamics and determine the best time for transitioning to VP shunt or ETV. Dr. Nafaur’s team ensures: Routine neuroimaging (ultrasound, CT/MRI) Monitoring of subgaleal swelling and neurological signs Guidance on feeding, growth milestones, and infection prevention Timely conversion to permanent CSF diversion as the baby matures 📈 Outcomes and Prognosis When performed timely, VSG can significantly: Prevent brain damage from untreated hydrocephalus Improve developmental outcomes in premature infants Reduce ICU stay and facilitate weight gain for future surgeries Act as a bridge to safe and permanent hydrocephalus treatment Dr. Nafaur Rahman’s VSG success stories reflect the highest standards of pediatric neurosurgical care in Bangladesh. 🌍 Serving All Regions of Bangladesh Parents from Dhaka, Chattogram, Sylhet, Rajshahi, Khulna, Barisal, Mymensingh, and other divisions regularly visit Dr. Nafaur’s clinics for neonatal hydrocephalus care. Teleconsultation and referral support for NICU units in government and private hospitals are also available. 📞 For Consultation and Emergency Scheduling For urgent evaluation of your child’s hydrocephalus or referral of a neonate from NICU, contact: 📱 +8801912988182 📱 +8801607033535 🌐 Website: www.neurosurgeonnafaur.com 📍 Dhaka | National Institute of Neurosciences & Hospital 📍 Private Consultation: Bangladesh Paediatric Neurocare Centre