title: Delayed intracerebral hemorrhage after ventriculoperitoneal shunt insertion. Case report and literature review.
abstract: We 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.
authors.affiliation: Department of Neurosurgery, The Getafe Universitary Hospital, Getafe.,Madrid, Spain.
authors.forename: L
authors.initials: L
authors.lastname: Alcázar
authors.forename: R
authors.initials: R
authors.lastname: Alfaro
authors.forename: M
authors.initials: M
authors.lastname: Tamarit
authors.forename: J C
authors.initials: JC
authors.lastname: Gómez-Angulo
authors.forename: J M
authors.initials: JM
authors.lastname: Ortega
authors.forename: P
authors.initials: P
authors.lastname: Aragonés
authors.forename: P
authors.initials: P
authors.lastname: Jerez
authors.forename: F
authors.initials: F
authors.lastname: Salazar
authors.forename: J M
authors.initials: JM
authors.lastname: del Pozo
mesh_terms: D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008875:Middle Aged; D012196:Review Literature as Topic; D014057:Tomography, X-Ray Computed; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects*