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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 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. Low incidence of delayed intracerebral hemorrhage secondary to ventriculoperitoneal shunt insertion. Delayed apoplexy following ventricular puncture. Surgical Neurology ; 3: CT hematma showing a widespread subarachnoid hemorrhage within basal cisterns, both silvian fissures and an interhemispheric hematoma.

Intracerebral hematoma from aneurysm rupture.

Articles Cases Courses Quiz. Here we report another case of this unusual complication, review the previous literature about cerebral hemorrhagic complications after ventricular shunting procedures and discuss the nematoma causative factors and mechanisms involved hekatoma this infrequent event.

Delayed intracerebral hemorrhage after ventriculoperitoneal shunt insertion. About Blog Go ad-free. Postoperative CT scan performed 24 hours following ventriculoperitoneal shunt insertion that showed no decreased ventricular size compared with the previous imaging study. Discussion Ventriculoperitoneal shunting VP is one of the most frequently performed procedure in our daily neurosurgical practice.

Intracerebral bleed Intracerebral hemorrhage Haemorrhagic stroke Intraparenchymal cerebral haemorrhage Intraparenchymal cerebral bleed Intraparenchymal cerebral hemorrhage Intracerebral haemorrhages Intraparenchymal cerebral hemorrhages Intraparenchymal cerebral bleeds Intraparenchymal cerebral haemorrhages Intracerebral hemorrhages Intracerebral bleeds Intra-cerebral haemorrhage.

The system of drainage obstructed repeatedly and the ventricular catheter intraparenquimatisa inserted in the left frontal horn and in the right temporal horn of the lateral ventricles subsequently. Spontaneous intratumoral hemorrhage after ventriculoperitoneal shunting. It can be observed postsurgical changes related to the right frontal craniotomy and marked ventricular dilatation. Sayers 19 reported six cases of intracerebral hematoma among shunted cases.


To quiz yourself on this article, log in to see multiple choice questions. Synonyms or Alternate Spellings: Journal of Neurosurgery ; Clinical Neurosurgery ; The conventional cerebral angiography was not completed because of the appereance of left hemiparesis; so a CT angiogram was performed revealing a right pericallosal artery aneurysm Figure 2 which was supposed to be the cause of the bleeding.

The CT angiogram revealed a right pericallosal artery aneurysm 2. An intracerebral hemorrhageor intraparenchymal cerebral hemorrhageis a subset of an intracranial hemorrhage.

Another possible factor we think could have influence it is the handling of the valve system; the patient deteriorated five days after changing its opening pressure from mmH 2 O to 80mmH 2 O ; nevertheless, the ventricular size didn’t reduce following the manipulation of the valve, as the CT scan performed at the moment of the deterioration demonstrated.

The operative procedure was uneventful; correct placement of the ventricular catheter was accomplished after one pass. 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.

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 the shunting procedure didn’t demonstrate any intracerebral hemorrhage.

Check for errors and try again. She deteriorated five days later becoming less alert, without collaboration. Snow 22 reported an incidence of moderate hemorrhage after ventricular shunting procedures of 0. Child’s Brain ; 3: Postoperative intracerebral or intraventricular hematoma usually ocurr soon after ventricular puncture 6. 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.

The cause of the right occipital intraparenchymal hemorrhage in our patient remains unknown; the mechanism could have been the erosion of a surface or deeper cerebral blood vessel secondary to a close contact between the tubing and the blood vessel, as the cases described by Savitz 18 and Snow Several mechanisms whereby intracerebral hemorrhage inraparenquimatosa ocurr after ventricular cannulation can be described Delayed intracerebral hemorrhage after ventriculoperitoneal shunt.


The patient was not operated on immediately because her clinical evolution was not favourable. Delayed traumatic intracerebral hemorrhage.

Hemorragia intracerebral

Disseminated intravascular coagulation DIC has been reported after head trauma 8,13brain tumor surgery 6 and VP shunting 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 kntraparenquimatosa series.

Intraventricular hematoma secondary to a ventriculoperitoneal shunt. Italian Journal of Neurological Sciences ; Savitz et al reported in a series of adults operated on intraparenquuimatosa primary insertion of a one-piece shunting system 18 ; each one was evaluated based on a CT scan obtained within 48 hours of surgery; no bleeding was observed in the CSF at the time of the ventricular cannulation; they recorded three cases of postoperative intraventricular hemorrhage and delayed hemorrhage around the catheter in the right parietal area was documented on postoperative CT scan in two patients.

Intratumoral hemorrhage after a ventriculoperitoneal shunting procedure.

Hematoma subdural – Wikipédia, a enciclopédia livre

Delayed intracerebral hemorrhage after ventriculoperitoneal shunting. Case 12 Case Post-traumatic petechial and massive intracerebral hemorrhage. Case 5 Case intgaparenquimatosa.

Shunt implantation reducing the incidence of shunt infection. Report of two cases.