title: Acute obstructive hydrocephalus due to brain-stem edema caused by hyperosmotic insult. Case report.
abstract: The case of a 63-year-old man with acute obstructive hydrocephalus is presented. To the authors' knowledge, this is the first reported case of acute obstructive hydrocephalus associated with nonketotic hyperosmolar diabetic coma. It is believed that the plasma hyperosmolality resulted in osmotic endothelial injury leading to brain-stem edema.
authors.affiliation: Department of Neurosurgery, Osaka Police Hospital, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Fujioka
authors.forename: K
authors.initials: K
authors.lastname: Okuchi
authors.forename: H
authors.initials: H
authors.lastname: Iwanaga
authors.forename: T
authors.initials: T
authors.lastname: Sakaki
mesh_terms: D000208:Acute Disease; D001929:Brain Edema / Q000150:complications; D001933:Brain Stem; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology* / Q000601:surgery; D006944:Hyperglycemic Hyperosmolar Nonketotic Coma / Q000150:complications*; D008297:Male; D008875:Middle Aged