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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CT scan showing a widespread subarachnoid hemorrhage within basal cisterns, both silvian intraparenquimwtosa and an interhemispheric hematoma. ICH on warfarin Case 1: Sayers 19 reported six cases of intracerebral hematoma among shunted cases. The cause of the right occipital intraparenchymal hemorrhage in our patient remains unknown; the mechanism could have been the erosion of a surface or deeper cerebral blood vessel secondary to a close contact between the tubing and the blood vessel, as the cases described by Savitz 18 and Snow Ventriculoperitoneal shunting VP is one of the most frequently performed procedure in our daily neurosurgical practice.

Support Hematoa and see fewer ads. Journal of Neurology, Neurosurgery and Psychiatry ; To quiz yourself on this article, log in to see multiple choice questions. The system of drainage obstructed repeatedly and the ventricular catheter was inserted in the left frontal horn and in the right temporal horn of the lateral ventricles subsequently.

Intracerebral hematoma from aneurysm rupture.

Bleeding disorder, tumor, occult vascular malformation or head trauma were not the cause of this event as clinical examination, laboratory tests and radiological studies determined. Matsumura et al 15 described the case of a 17 yearold boy who developed a marked ventricular dilatation two years after an operation for a traumatic intracerebral hematoma.


The incidence in these reports varies from 0. Udvarhelyi et al 23 reported two cases of intracerebral intraparenquimstosa after VP shunting among 55 cases of normal pressure hydrocephalus.

Hematoma subdural – Wikipédia, a enciclopédia livre

Introduction Complications of cerebrospinal fluid CSF ventricular shunting have been reported 19,23 a lot of years ago, such as infections, shunt malfunction, subdural hematomas, seizures, migrating catheter, kinked tubing.

Case report 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.

Detection of shunt-induced intracerebral hemorrhage by postoperative skull films: Thank you for updating your details. The clinical course was unfavourable and the patient was again operated on for evacuation of the intraparenchymal and intraventricular hemorrhage through a right occipital craniotomy. Disseminated intravascular coagulation DIC has been reported after inteaparenquimatosa trauma 8,13brain tumor surgery 6 and VP shunting Bleeding secondary to ventricular puncture may be detected hemato,a imaging studies ultrasonography, computerized tomography-CT, magnetic resonance imaging-MRIbut they are not ordered in uncomplicated cases 22 ; therefore, the incidence of delayed intracerebral hemorrhage following ventricular cannulation is difficult to establish.

Intratumoral hemorrhage after a ventriculoperitoneal 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.

Complications of ventriculoperitoneal shunting and a critical comparison of the three-piece and one-piece systems. Case 5 Case 5. The presumed mechanism is the erosion of a cerebral blood vessel secondary to a close contact with the ventricular catheter; bleeding disorder, vascular malformation, head trauma or brain tumor were excluded in this patient. Articles Cases Courses Quiz.

By this, a VP shunt was placed in the patient on March 11; through a right occipital burr hole a ventricular catheter was inserted in the right lateral ventricle, connected to a Hakim programmable valve pressure mmH 2 O.


Intracerebral haemorrhage | Radiology Reference Article |

It can be observed postsurgical changes related to the right frontal craniotomy and marked ventricular dilatation. The past history was unremarkable. The patient deteriorated progressively, with renal failure and fever toward the multiorganic failure that caused the death of the patient on May 25, With any intracerebral hemorrhage the following points should be included in a report as they have prognostic implications Savitz et al reported in a series of adults operated on for primary insertion of a one-piece shunting system 18 ; each one was evaluated based on a CT scan obtained within 48 hours intraparenquimatosaa surgery; no bleeding was observed in the CSF at the time of the ventricular cannulation; they recorded three cases of postoperative intraventricular hemorrhage and delayed hemorrhage around the catheter in the right parietal area was documented on postoperative CT scan in two patients.

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. Delayed traumatic intracerebral hemorrhage.

Intracerebral hemorrhage intraparenquumatosa from the site of the initial neurosurgical procedure. All of us know complications following insertion of a CSF shunt, such as infection, obstruction, subdural hematoma, malfunction, seizures, migrating or intraparenuqimatosa 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.

The patient was not operated on immediately because her clinical evolution was not favourable. About Blog Go ad-free.

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