Delayed Intraventricular Hemorrhage following a Ventriculoperitoneal Shunt Placement: Exploring the Surgical Anatomy of a Rare Complication
Joint Authors
Mavridis, Ioannis
Mitropoulos, Athanassios
Mantas, Constantinos
Karagianni, Aikaterini
Vlachos, Konstantinos
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-11-08
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Ventriculoperitoneal shunt (VPS) placement is one of the commoner neurosurgical procedures worldwide.
The purpose of this article is to report a case of delayed intraventricular hemorrhage (IVH) following a VPS and to review the literature regarding anatomic factors that could potentially explain this rare complication.
A 78-year-old man with normal pressure hydrocephalus, who underwent an uneventful right VPS placement, suffered from a catastrophic isolated IVH five days later.
The reported cases of delayed intracerebral hemorrhage (ICH) following VPS are rare and those with IVH are even rarer.
Potential factors of surgical anatomy that could cause delayed ICH/IVH following a VPS procedure include erosion of vasculature by catheter cannulation, multiple attempts at perforation, puncture of the choroid plexus, improper placement of the tubing within the brain parenchyma, VPS system revision, venous infarction, vascular malformations, head trauma, and brain tumors.
Other causes include generalized convulsion, VPS system malfunction, increased intracranial or blood pressure, sudden intracranial hypotension, and bleeding disorders.
According to the current literature, our case is the first reported delayed isolated IVH after a VPS placement so far.
Neurosurgeons should be aware of the delayed ICH/IVH as a rare, potentially fatal complication of VPS, as well as of its risk factors.
American Psychological Association (APA)
Mavridis, Ioannis& Mitropoulos, Athanassios& Mantas, Constantinos& Karagianni, Aikaterini& Vlachos, Konstantinos. 2017. Delayed Intraventricular Hemorrhage following a Ventriculoperitoneal Shunt Placement: Exploring the Surgical Anatomy of a Rare Complication. Case Reports in Medicine،Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1146702
Modern Language Association (MLA)
Mavridis, Ioannis…[et al.]. Delayed Intraventricular Hemorrhage following a Ventriculoperitoneal Shunt Placement: Exploring the Surgical Anatomy of a Rare Complication. Case Reports in Medicine No. 2017 (2017), pp.1-6.
https://search.emarefa.net/detail/BIM-1146702
American Medical Association (AMA)
Mavridis, Ioannis& Mitropoulos, Athanassios& Mantas, Constantinos& Karagianni, Aikaterini& Vlachos, Konstantinos. Delayed Intraventricular Hemorrhage following a Ventriculoperitoneal Shunt Placement: Exploring the Surgical Anatomy of a Rare Complication. Case Reports in Medicine. 2017. Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1146702
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1146702