PMID: 20098034Jan 26, 2010Paper

Intracerebral hemorrhage secondary to ventriculoperitoneal shunt insertion--four case reports

Neurologia Medico-chirurgica
Kouichi MisakiJun-ichiro Hamada

Abstract

Four patients presented with intracerebral hemorrhage secondary to ventriculoperitoneal (VP) shunt insertion. VP shunt insertion was performed for idiopathic normal-pressure hydrocephalus (Case 1), hydrocephalus after cerebellar hemorrhage (Case 2), and subarachnoid hemorrhage followed by meningitis (Cases 3 and 4). Cerebral hemorrhage was confirmed 4 hours (Case 1), 2 days (Case 2), 7 days (Case 3), and 13 days (Case 4) after the operation. Cases 1 and 2 required intraoperative hemostasis for bleeding from the cortical vein. The 7 previous and our 4 patients were divided according to early (within 2 days after shunt placement, n = 6, Group 1) and delayed (5-13 days post-shunting, n = 5, Group 2) hemorrhage. Bleeding was attributable to venous occlusion due to intraoperative manipulation in Group 1, and to the vulnerability of brain tissue induced by a primary brain disease in Group 2.

References

Nov 1, 1985·Surgical Neurology·A MatsumuraY Maki
Sep 21, 2007·Neurosurgery·Yvonne WuNalin Gupta
Dec 27, 2007·Neurologia Medico-chirurgica·Ken-ichiro KikutaNobuo Hashimoto
Jan 15, 2008·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Toshio ImaizumiJun Niwa

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Citations

May 9, 2012·Current Atherosclerosis Reports·Qingliang T Wang, Stanley Tuhrim
Jan 6, 2012·International Journal of Medical Sciences·Feng ZhouXiangdong Zhu
Jul 26, 2014·Journal of Neurosurgery. Pediatrics·Jung Won ChoiJi Hoon Phi
Jan 6, 2015·Surgical Neurology International·Omar ChoudhriHuy M Do
Feb 11, 2016·Fluids and Barriers of the CNS·Elias JohanssonJan Malm
Feb 9, 2017·Cancer Control : Journal of the Moffitt Cancer Center·Andrey A VolkovFrank D Vrionis
Nov 8, 2018·Korean Journal of Neurotrauma·Se Youn JangJae Min Kim
Aug 15, 2021·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Nayara M PereiraPaulo Ronaldo Jubé Ribeiro

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