Neurosurg Focus. Oct 15;15(4):E4. Intracerebral hematoma from aneurysm rupture. Abbed KM(1), Ogilvy CS. Author information: (1)Department of. This recommendation is based upon the potential for patients with ICH to deteriorate from hematoma expansion, elevations in intracranial. Early surgery versus initial conservative treatment in patients with spontaneous supratentorial lobar intracerebral haematomas (STICH II): A.
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Negative intracranial pressure hydrocephalus in adults with shunts and its relationship to the production of subdural hematoma. This time the patient didn’t well; 24 hours later she remained with closed eyes, absence of verbal response and localizing to painful stimulus.
The Getafe Universitary Hospital. We present another case of delayed intracerebral hemorrhage after a ventriculoperitoneal VP shunting procedure. We report a case of delayed intraparenchymal hemorrhage, along the path of the ventricular catheter, which occurred six days after a VP shunting procedure and review the previous literature about this rare complication.
Spontaneous intratumoral hemorrhage after ventriculoperitoneal shunting. Case 5 Case 5. Delayed traumatic intracerebral hemorrhage.
Hematoma subdural – Wikipédia, a enciclopédia livre
Disseminated intravascular coagulation as a complication of ventricular catheter placement. Intraventricular hemorrhage following ventriculoperitoneal shunt placement: Journal of Neurosurgery ; 3: Udvarhelyi et al 23 reported two cases of intracerebral hematoma after VP shunting among 55 cases of normal pressure hydrocephalus.
Disseminated intravascular coagulation DIC has been reported after head trauma 8,13brain tumor surgery 6 intrqparenquimatosa VP shunting All of us know complications following insertion of a CSF shunt, such as infection, obstruction, subdural hematoma, malfunction, seizures, migrating or kinked catheter 19,23 ; obstruction or blockage of the ventricular and abdominal ends of the tubing and infection of the system are the major problems of CSF shunting procedures.
Intracerebral hemorrhage remote from the site of the initial neurosurgical procedure. Edit article Share article View revision history.
Intracerebral hematoma from aneurysm rupture.
It is a rare complication hemayoma VP shunting, with few cases reported previously in the literature. Journal of Ultrasound in Medicine ; 2: Detection of shunt-induced intracerebral hemorrhage by postoperative skull films: Post-traumatic petechial and massive intracerebral hemorrhage.
The past history was unremarkable.
Bleeding along the path of the ventricular catheter and into the ventricular system has been reported previously following VP shunt placement 2,6,10,14,19,23 ; it may be caused by puncture of the choroid plexus, repeated attempts at perforation of the ventricles or inadequate placement of the tubing within the parenchyma of the brain. Postoperative CT scan performed 24 hours following ventriculoperitoneal shunt insertion that showed no decreased ventricular size compared with the previous imaging study.
Another possible factor we think could have influence it is the handling of the valve system; the patient deteriorated five days after changing its opening pressure from mmH 2 O to 80mmH 2 O ; nevertheless, the ventricular size didn’t reduce following the manipulation of the valve, as the CT scan performed at the moment of the deterioration demonstrated.
The clinical course was unfavourable and the patient intraparenquimahosa again operated on for evacuation of the intraparenchymal and intraventricular hemorrhage through a right occipital craniotomy. Small amounts of blood are frequently ibtraparenquimatosa in the ventricle or in the parenchyma along the catheter path 16but clinically significant lesions, however, are uncommon 7,15, Postoperative intracerebral or intraventricular hematoma usually ocurr soon after ventricular puncture 6.
The CT angiogram revealed a right pericallosal artery aneurysm 2.
A 64 year-old woman was admitted to the neurosurgical department of our hospital on January 20,being diagnosed of subarachnoid hemorrhage grade III, Hunt-Hess scale. Neurological Surgery ; Delayed intracerebral hemorrhage after CSF shunt for communicating “normal-pressure” hydrocephalus.
Snow 22 reported an incidence of moderate hemorrhage after ventricular shunting procedures of 0. Complications of ventriculoatrial and ventriculoperitoneal shunts in a New Children’s Hospital. Italian Journal of Neurological Sciences ; It can be observed postsurgical changes related to the right frontal craniotomy and marked ventricular dilatation.