Fatal Tumor Hemorrhage After Ventriculoperitoneal Shunting. Case Report

Schroeder, Henry W. S.; Niendorf, Wulf-Rüdiger; Schwesinger, G; Gaab, M. R.

doi:10.1055/s-2007-979750

Cited by 8 publications

(5 citation statements)

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“…To date only two cases of medulloblastomas, one case of ependymoma, two cases of cerebellar astrocytomas, and a few thalamic and pineal tumors are reported to have bled massively following CSF diversion. 1,[7][8][9] The paucity of these reports suggests that these fatal hemorrhages are rare. Also, such fatal hemorrhages have occurred even in benign tumors, including the pilocytic astrocytoma and ependymoma reported here, which otherwise have excellent prognoses.…”

Section: Discussionmentioning

confidence: 99%

Fatal intratumoral hemorrhage in posterior fossa tumors following ventriculoperitoneal shunt

Santhanam

Balasubramaniam

Chandramouli

2009

Journal of Clinical Neuroscience

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Section: Discussionmentioning

confidence: 99%

Fatal intratumoral hemorrhage in posterior fossa tumors following ventriculoperitoneal shunt

Santhanam

Balasubramaniam

Chandramouli

2009

Journal of Clinical Neuroscience

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“…39 In the single death directly related to an endoscopic procedure the lesson to be learned is that in the presence of extensive ventricular seeding shunting might have been safer than a further endoscopic procedure within the third ventricle.…”

Section: Technical Aspectsmentioning

confidence: 99%

The role of neuroendoscopy in the management of brain tumours

Macarthur¹,

Buxton²,

Punt³

et al. 2002

British Journal of Neurosurgery

100

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Neuroendoscopy is increasingly used in the management of brain tumours and tumour related hydrocephalus and this study reviews the efficacy of neuroendoscopic interventions in this unit in patients with brain tumours. A series of 87 neuroendoscopic operations carried out in 77 patients with brain tumours over a 6-year period is reported. The age range of the patients was from 5 months to 70 years (median 13 years). In 56 cases (64%) presentation was with a newly-diagnosed tumour and hydrocephalus. The majority of the remaining patients had varying degrees of worsening hydrocephalus on the background of a previously diagnosed tumour. Neuroendoscopic third ventriculostomy (NTV) was successful in relieving hydrocephalus in the short term in 63/66 cases (95%) and in the longer term in 55/66 cases (83%). Neuroendoscopic tumour biopsies were successful in providing a tissue diagnosis in 17/28 cases (61%) and four extensive and three partial resections of tumour were carried out. There were two deaths within 30 days of the procedure with only one of these, secondary to intraventricular haemorrhage, directly related to neuroendoscopy. Few significant complications were noted otherwise. For selected intraventricular and paraventricular tumours neuroendoscopy offers the opportunity to combine relief of hydrocephalus with tumour biopsy and sampling of CSF in a single procedure.

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“…Repair of EVD-induced cerebrovascular injury has been described in several prior studies;[ 3 4 6 14 15 19 22 30 31 32 33 36 ] however, management has primarily consisted of open surgical repair with very few documented cases of endovascular treatment [ Table 1 ]. Even in the limited reports of endovascular treatment, the choice of embolization technique has varied widely.…”

Section: Discussionmentioning

confidence: 99%

Endovascular management of external ventricular drain-associated cerebrovascular injuries

et al. 2014

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Background:Placement of external ventricular drains (EVDs) is a common, life-saving neurosurgical procedure indicated across a variety of settings. While advances have made the procedure quite safe, the potential for iatrogenic morbidity and mortality continues. We document our experience with the endovascular management of three pseudoaneurysms associated with EVD placement and discuss the endovascular treatment options for EVD-associated cerebrovascular injury.Methods:We performed a retrospective analysis to identify all EVDs placed from 2008 through 2013 at our institution. In instances of EVD-associated cerebrovascular injury, all admission and subsequent radiographic studies were reviewed, including cerebral angiograms and computed tomography (CT) scans where available. Angiograms were reviewed to record the extent of vascular injury and outcomes after treatment.Results:One female and two male patients (age range, 40-75 years) were found to have developed vascular injuries associated with EVD placement. Three pseudoaneurysms, of the posterior communicating artery (PCOM), pericallosal artery branch, and the middle meningeal artery, respectively, were treated by coil and/or glue embolization.Conclusions:Although EVD-associated cerebrovascular injury remains a rare phenomenon, such procedures are not entirely benign. Endovascular repair for such lesions proves a viable, effective option.

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Fatal Tumor Hemorrhage After Ventriculoperitoneal Shunting. Case Report

Abstract: We report a fatal tumor hemorrhage in a 1-and-a-half-year old girl after ventriculoperitoneal shunting for obstructive hydrocephalus caused by a thalamic tumor. The possible pathophysiological mechanism is briefly discussed and the literature is reviewed.

Cited by 8 publications

References 0 publications

Fatal intratumoral hemorrhage in posterior fossa tumors following ventriculoperitoneal shunt

Fatal intratumoral hemorrhage in posterior fossa tumors following ventriculoperitoneal shunt

The role of neuroendoscopy in the management of brain tumours

Endovascular management of external ventricular drain-associated cerebrovascular injuries

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