title: Transient Obstructive Hydrocephalus due to Intraventricular Hemorrhage: A Case Report and Review of Literature.
abstract: BACKGROUND
  Acute transient obstructive hydrocephalus is rare in adults. We describe a patient with intraventricular hemorrhage (IVH) who experienced the delayed development of acute transient hydrocephalus.
  
  
  METHODS
  A 33-year-old man with a previously diagnosed Spetzler-Martin Grade 5 arteriovenous malformation presented with severe headache, which was found to be due to IVH. Forty hours after presentation he developed significant obstructive hydrocephalus due to the thrombus migrating to the cerebral aqueduct, and a ventriculostomy placement was planned. However, shortly thereafter his headache began to improve spontaneously. Within 4 hours after onset the headache had completely resolved, and an interval head CT scan revealed resolution of hydrocephalus.
  
  
  CONCLUSIONS
  In patients with IVH, acute obstructive hydrocephalus can develop at any time after the ictus. Though a delayed presentation of acute but transient obstructive hydrocephalus is unusual, it is important to be aware of this scenario and ensure that deterioration secondary to thrombus migration and subsequent obstructive hydrocephalus do not occur.
authors.affiliation: Department of Neurological Surgery, Washington University School of Medicine, St. Louis, MO, USA.
authors.forename: Eriks A
authors.initials: EA
authors.lastname: Lusis
authors.forename: Ananth K
authors.initials: AK
authors.lastname: Vellimana
authors.forename: Wilson Z
authors.initials: WZ
authors.lastname: Ray
authors.forename: Michael R
authors.initials: MR
authors.lastname: Chicoine
authors.forename: Sarah C
authors.initials: SC
authors.lastname: Jost
keywords: acute hydrocephalus; arteriovenous malformation; intraventricular hemorrhage; transient hydrocephalus
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