Abstract:
:The ventriculoperitoneal (VP) shunt is a routine procedure for cerebrospinal fluid (CSF) diversion, and is associated with many complications. A delayed hemorrhage after the VP shunt surgery, however, is quite rare. In this study, we report a case involving late-onset hemorrhage. The 67-year-old male patient with a history of head trauma and brain surgery underwent a VP shunt placement for hydrocephalus. The surgery course was uneventful and no bleeding was revealed in the first computed tomographic (CT) scan after the procedure. However, a massive intraparenchymal and intraventricular hemorrhage occurred 8 h following adjustment of the valve system on the 8th day after surgery.Erosion of the vasculature by catheter cannulation and a sudden reduction of CSF pressure after downregulation of the valve could be one of the possible causes of the intracerebral hemorrhage (ICH).
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Ma L,Chen YL,Yang SX,Wang YRdoi
10.1097/MD.0000000000002029subject
Has Abstractpub_date
2015-11-01 00:00:00pages
e2029issue
47eissn
0025-7974issn
1536-5964pii
00005792-201511240-00024journal_volume
94pub_type
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