Delayed intracerebral hemorrhage after ventriculoperitoneal shunt insertion. Case report and literature review.
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.
Alcázar
L
L
Department of Neurosurgery, The Getafe Universitary Hospital, Getafe.,Madrid, Spain.
Alfaro
R
R
Tamarit
M
M
Gómez-Angulo
J C
JC
Ortega
J M
JM
Aragonés
P
P
Jerez
P
P
Salazar
F
F
del Pozo
J M
JM
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*