Postoperative intracerebral hemorrhages: A survey of computed tomographic findings after 1074 intracranial operations

Fukamachi, Akira; Koizumi, Hidehito; Nukui, Hideaki

doi:10.1016/0090-3019(85)90006-0

Cited by 115 publications

(46 citation statements)

References 15 publications

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“…Bleeding along the path of the ventricular catheter and into the ventricular system has been reported previously following VP shunt placement 2,6,10,14,19,23 ; it may be caused by puncture of the choroid plexus, repeated attempts at perforation of the ventricles or inadequate placement of the tubing within the parenchyma of the brain.…”

Section: Discussionmentioning

confidence: 97%

“…Snow 22 reported an incidence of moderate hemorrhage after ventricular shunting procedures of 0.3% (3 to 5 cm in maximal diameter). Fukamachi et al performed CT scans on 242 patients within the first week of ventricular shunting procedures 6 and found that ten of them had small intracerebral hematomas (3 cm maximal diameter); they didn't offer any explanation for the one moderate-sized hematoma in their series. Udvarhelyi et al 23 reported two cases of intracerebral hematoma after VP shunting among 55 cases of normal pressure hydrocephalus.…”

Section: Discussionmentioning

confidence: 99%

“…All of us know complications following insertion of a CSF shunt, such as infection, obstruction, subdural hematoma, malfunction, seizures, migrating or kinked 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. Postoperative intracerebral or intraventricular hematoma usually ocurr soon after ventricular puncture 6 . In the pediatric population intracranial hemorrhage may be seen after 0.4% to 4% of shunt operations 9,15,16 .…”

Section: Discussionmentioning

confidence: 99%

“…Disseminated intravascular coagulation (DIC) has been reported after head trauma 8,13 , brain tumor surgery 6 and VP shunting 20 . On the other hand, intratumoral hemorrhage has been described following ventricular cannulation 24,25,27 .…”

Section: Discussionmentioning

confidence: 99%

“…Small amounts of blood are frequently recognized in the ventricle or in the parenchyma along the catheter path 16 , but clinically significant lesions, however, are uncommon 7,15,23 . Fukamachi explain on his report in 1985 that intracerebral hemorrhage after a ventricular shunting procedure is uncommon, usually occurring soon after surgery 6 . In several large series reviewing the complications of this procedure authors don't mention intracerebral hemorrhage 17,19 .…”

Section: Introductionmentioning

confidence: 99%

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Delayed intracerebral hemorrhage after ventriculoperitoneal shunt insertion. Case report and literature review

et al. 2007

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SummaryWe present another case of delayed intracerebral hemorrhage after a ventriculoperitoneal (VP) shunting procedure. In this case, a right occipital intraparenchymal hematoma and associated intraventricular hemorrhage occurred six days after the operation for hydrocephalus secondary to subarachnoid hemorrhage in a 64 year old woman. It is a rare complication of VP shunting, with few cases reported previously in the literature. 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.KEY WORDS: Intracerebral hemorrhage. Ventriculoperioneal shunt. Hydrocephalus. Postoperative complication. Ventricular catheter.Hemorragia intracerebral tardía tras la colocación de una derivación ventriculoperitoneal. Caso clínico y revisión de la literatura Resumen Presentamos un caso de hemorragia intracerebral tardía tras la colocación de una derivación ventriculoperitoneal. Una paciente de 64 años de edad, con hidrocefalia secundaria a una hemorragia subaracnoidea, sufre una hemorragia intraparenquimatosa occipital derecha con hemorragia intraventricular secundaria seis días después de la intervención quirúrgica. Se trata de una complicación rara de la derivación ventriculoperitoneal, con pocos casos publicados anteriormente. El mecanismo supuesto es la erosión de un vaso sanguíneo secundaria a un íntimo contacto con el catéter proximal de la derivación; trastornos sanguí-neos, malformaciones vasculares cerebrales, traumatismo craneal o tumor cerebral fueron excluidos en esta paciente.PALABRAS CLAVE: Hemorragia intracerebral. Derivación ventriculoperitoneal. Hidrocefalia. Complicación postquirúrgica. Catéter ventricular.

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