Intracerebral haematoma in hydrocephalic shunted patients not related to ventricular cannula. Report of three cases and review of the literature.
Intracerebral haematoma (ICH) distantly from the site of insertion of a ventriculoperitoneal shunt or external drain is an extremely rare complication. In contrast to ICH caused by disruption of small cerebral vessels by the catheter, the cause of haematoma distantly from the shunt is unclear. We report three cases of ICH occurring distantly from the tubing path. We also discuss possible mechanisms and provide a literature review of this complication.
Czepko
Ryszard
R
Klinika Neurochirurgii Instytutu Neurologii Collegium Medicum UJ ul. Botaniczna 3, 31-503 Kraków.
Pietraszko
Wojciech
W
D000368:Aged; D002404:Catheterization / Q000379:methods; D002408:Catheters, Indwelling / Q000009:adverse effects / Q000706:statistics & numerical data; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging* / Q000628:therapy; D006801:Humans; D006849:Hydrocephalus / Q000150:complications*; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed / Q000379:methods; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects / Q000295:instrumentation*