 Intraventricular hemorrhage remains the most frequent, severe neurological complication of prematurity, occurring in 25-30 of preterm infants. Post-hemorrhagic ventricular dilation PHVD occurs in 25-50 of those infants, with over half requiring ventriculoperitoneal shunts. When suboptimally untreated, PVHD results in a 3-4 fold increase in neurodevelopmental delay. Despite the lifelong impact of PHVD on quality of life, little research has been done over the past 20 years to improve patient outcomes. 