Neurosurg Focus. Oct 15;15(4):E4. Intracerebral hematoma from aneurysm rupture. Abbed KM(1), Ogilvy CS. Author information: (1)Department of. This recommendation is based upon the potential for patients with ICH to deteriorate from hematoma expansion, elevations in intracranial. Early surgery versus initial conservative treatment in patients with spontaneous supratentorial lobar intracerebral haematomas (STICH II): A.
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A computed tomographic CT scan demonstrated a widespread subarachnoid hemorrhage, an interhemispheric hematoma and a small acute left temporal subdural hematoma Figure 1.
Fujioka 5 presented to us another case of intracerebral hematoma after a ventricular puncture in the same location; he hypothesized that the bleeding might have occurred by the same mechanism as traumatic delayed intracerebral hemorrhage 1,4, Post-traumatic petechial and massive intracerebral hemorrhage. Journal of Neurosurgery ; We can think in favour of this mechanism because no hemorrhagic CSF was observed following puncture of the lateral ventricle and the first CT scan performed after intraparenquimatksa shunting procedure hemztoma demonstrate any intracerebral hemorrhage.
With any intracerebral hemorrhage the following points should be included in a report as they have prognostic implications Neurological Surgery ; Delayed intraparenwuimatosa hemorrhage after ventriculoperitoneal shunting. Case 5 Case 5. In the pediatric population intracranial hemorrhage may be seen after 0. Matsumura et al 15 described the case of a 17 yearold boy who developed a marked ventricular dilatation two years after an operation for a traumatic intracerebral hematoma.
Intracerebral haemorrhage | Radiology Reference Article |
Fukamachi et al performed CT scans on 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.
Disseminated intravascular coagulation associated with massive brain injury. A 64 year-old woman was admitted to the neurosurgical department of our hospital on January 20,being diagnosed of subarachnoid hemorrhage grade III, Hunt-Hess scale. Several mechanisms whereby intracerebral hemorrhage can ocurr after ventricular cannulation can be described Detection of shunt-induced intracerebral hemorrhage by postoperative skull films: Cerebral damage following ventricular shunt for infantile hydrocephalus evaluated by computed tomography.
Postoperative CT scan performed 24 hours following ventriculoperitoneal shunt insertion that showed no decreased ventricular size compared with the previous imaging study.
Intracerebral hematoma from aneurysm rupture.
The system of drainage obstructed repeatedly and the ventricular catheter was inserted in the left frontal horn and in the intrapaeenquimatosa temporal horn of the lateral ventricles subsequently.
The mechanism in these five patients was more likely disruption of a cerebral blood vessel by the catheter; the normal pulsations of the CSF transmitted to the tubing might have caused the catheter to erode through a blood vessel with subsequent intracerebral hemorrhage.
Journal of Neurosurgery ; 3: CT scans are not often obtained within the first week after an uneventful ventricular shunting procedure, so the true incidence of intracerebral hemorrhage after it is difficult to know. Introduction Complications of cerebrospinal fluid CSF ventricular shunting have been reported 19,23 a lot of years ago, such as infections, shunt malfunction, subdural hematomas, seizures, migrating catheter, kinked tubing. She initially did quite well, although very slowly.
Complications of cerebrospinal fluid CSF ventricular shunting have been reported 19,23 a lot of years ago, such as infections, shunt malfunction, subdural hematomas, seizures, migrating catheter, kinked tubing. Surgical Neurology ; 3: The Canadian Journal hematmoa Surgery ; A CT scan performed 15 days after the operation revealed marked ventricular dilatation intraparenquimaatosa with previous imaging study performed on admission Figure 3.
She was brought because of transient loss of conciousness for several minutes following a sudden intraparenquimatsa in the morning.
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. An intracerebral hemorrhageor intraparenchymal cerebral hemorrhageis a intfaparenquimatosa of an intracranial hemorrhage.
CT scan showing a widespread subarachnoid hemorrhage within basal cisterns, both silvian fissures and an interhemispheric hematoma.
Histologic studies of the brain following head trauma.
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.
Mascalchi 14 presented in the case of a patient with an extensive intraparenchymal hemorrhage far from the catheter of the VP shunt 12, Delayed traumatic intracerebral hemorrhage. Edit article Share article View revision history. Small amounts of blood are frequently recognized in the ventricle or in the parenchyma along the catheter path 16but clinically significant lesions, however, are uncommon 7,15, Intraventricular hemorrhage following ventriculoperitoneal shunt placement: This type of complication had not been described in the literature untilwhen Matsumura et al reported a case of delayed intracerebral hemorrhage that occurred after a ventriculoperitoneal VP shunting procedure in a 17 year-old boy on the 7 th postoperative day