Delayed intracerebral hemorrhage after ventriculoperitoneal shunt

Matsumura, Akira; Shinohara, Akira; Munekata, K; Maki, Yutaka

doi:10.1016/0090-3019(85)90264-2

Cited by 34 publications

(34 citation statements)

References 9 publications

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“…Intracerebral hemorrhage in the ventricle or in the parenchyma along the catheter path within 24 hours after the operation is an uncommon complication. The delayed hemorrhage which did not happen within 24 hours while occurred after 72 hours is rarer, there are only 7 cases been reported up to date [1, 3, 4]. However, the mortality of delayed intracerebral hemorrhage is high, ranging from 50% to 100% [3, 5].…”

Section: Introductionmentioning

confidence: 99%

Characteristics of delayed intracerebral hemorrhage after ventriculoperitoneal shunt insertion

Gong

Yang

et al. 2017

Oncotarget

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BackgroundDelayed intracerebral hemorrhage after ventriculoperitoneal (VP) shunt insertion is rare and has not been well investigated previously. Its characteristics is still unknown.ObjectiveWe reported 12 patients with delayed intracerebral hemorrhage after VP shunt to investigate the potential risk factors and the outcome.Results12 patients (1.59%) of all the 754 hydrocephalus had delayed intracerebral hemorrhage after VP shunt insertion. 4 patients were women and 8 patients were men, ranging in age from 50 to 76 years. The delayed cerebral hemorrhage from day 3 to day 7 post operation was diagnosed by repeated CT. The delayed intracerebral hemorrhage was significantly related to age, prior craniotomy operation history and manipulation of valve system (3–7 days). Neither gender sexuality nor potential risk factors for postoperative hemorrhage (including anticoagulation/antiplatelet status, liver disease, diabetes, hypertension), time of shunt attempt affected the happen of delayed intracerebral hemorrhage.Materials and MethodsThe clinical characteristics including sex, age, anticoagulation/antiplatelet status, liver disease, diabetes, hypertension, craniotomy operation history, manipulation of valve system and time of shunt attempt of 754 patients who were surgically treated of VP shunt at the first affiliated hospital of Soochow University between 2007 and 2013 were reviewed retrospectively. The potential risk factors of the delayed intracerebral hemorrhage were statistically analyzed.ConclusionsThis study summarizes the presentation and outcome of a series of 12 patients with delayed intracerebral hemorrhage after VP shunt. Age ≥ 60 years, prior craniotomy operation and manipulation of the valve system are statistically significant to the delayed hematoma secondary to VP shunt.

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Section: Introductionmentioning

confidence: 99%

Characteristics of delayed intracerebral hemorrhage after ventriculoperitoneal shunt insertion

Gong

Yang

et al. 2017

Oncotarget

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“…None of the 7 previous patients with postoperative intracerebral hemorrhage around the shunt tube presented with evidence of any of the above risk factors. 1,2,5,7,8) We divided the 7 previous and our 4 patients into 2 groups based on whether the hemorrhage occurred early (within 2 days of VP shunting, n ＝ 6, Group 1, Table 1) or late (5-13 days after VP shunting, n ＝ 5, Group 2, Table 2). Hemostasis of bleeding from a cortical vein was difficult in 2 of the 6 patients in Group 1.…”

Section: Discussionmentioning

confidence: 99%

“…Delayed hemorrhage occurred after shunt placement for hydrocephalus secondary to SAH in one patient, and delayed hemorrhage 2 years manifested after ipsilateral traumatic contusional hematoma leading to recent memory disturbance and epilepsy in another. 1,5) Therefore, 4 of the 5 patients in Group 2 presented with a primary brain disorder such as SAH, meningitis, or severe brain trauma prior to shunt placement. We suggest that tube cannulation into fragile brain tissue affected by a primary brain disorder was associated with the delayed development of an intracerebral hematoma.…”

Section: Discussionmentioning

confidence: 99%

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Intracerebral Hemorrhage Secondary to Ventriculoperitoneal Shunt Insertion -Four Case Reports-

Misaki

Uchiyama

Hayashi

et al. 2010

Neurol. Med. Chir.(Tokyo)

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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.

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“…Postoperative intracerebral hemorrhage after VP shunt is one of the most severe complications. In 1985, Matsumura and his colleagues reported the first case of delayed intracerebral hemorrhage after VP shunt [1]. The incidence in published reports varies from 0.3% to 4%.…”

Section: Introductionmentioning

confidence: 99%

A case of repeated intracerebral hemorrhages secondary to ventriculoperitoneal shunt

Zhao

Chen

Yang

et al. 2015

Interdisciplinary Neurosurgery

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Ventriculoperitoneal shunt is a routinely performed treatment in neurosurgical department. Intracerebral hemorrhage, as a complication after shunt catheterization, is really rare but with high mortality. In this study, we reported a case of a 74-year-old man who suffered from repeated intracerebral hemorrhage after ventriculoperitoneal shunt. The first hemorrhage happened 63 h after the 1st surgery, and most hematomas were located in the ipsilateral occipital lobe and intraventricles, along the ventricular catheter. Fresh blood clot casts blocked the external ventricular draining catheter, which was inserted into the right front horn during the 3rd surgery, indicating new intraventricular bleeding happened. A large hematoma in ipsilateral frontal lobe was detected on the 3rd day after the removal of external ventricular draining catheter. Different hemorrhagic locations and time points were encountered on the same case. We discussed the possible causes of repeated hemorrhage for this case, and the pre-operative preparation including risk evaluation in future clinical work.

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Delayed intracerebral hemorrhage after ventriculoperitoneal shunt

Cited by 34 publications

References 9 publications

Characteristics of delayed intracerebral hemorrhage after ventriculoperitoneal shunt insertion

Characteristics of delayed intracerebral hemorrhage after ventriculoperitoneal shunt insertion

Intracerebral Hemorrhage Secondary to Ventriculoperitoneal Shunt Insertion -Four Case Reports-

A case of repeated intracerebral hemorrhages secondary to ventriculoperitoneal shunt

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