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Severe Traumatic Brain Injury and Ventriculoperitoneal Shunt Challenges: A Case Report

Traumatic brain injury (TBI) is an acquired damage to the brain caused by an external mechanical force and may result in temporary or long-term disability. It is a prevalent condition that highlights the need for increased awareness. Despite advances in the technology used to monitor and guide thera...

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Detalles Bibliográficos
Autores principales: Cunha, Lucie, Pereira, Eduarda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10075335/
https://www.ncbi.nlm.nih.gov/pubmed/37033578
http://dx.doi.org/10.7759/cureus.35828
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author Cunha, Lucie
Pereira, Eduarda
author_facet Cunha, Lucie
Pereira, Eduarda
author_sort Cunha, Lucie
collection PubMed
description Traumatic brain injury (TBI) is an acquired damage to the brain caused by an external mechanical force and may result in temporary or long-term disability. It is a prevalent condition that highlights the need for increased awareness. Despite advances in the technology used to monitor and guide therapy, it is a difficult and complex disease process to manage. Elevated intracranial pressure (ICP), a complication of neurologic injury, is associated with increased mortality and worse outcomes. Decompressive craniectomy is effective in controlling ICP and is potentially lifesaving in patients who have failed medical therapy. As a long-term treatment, implanting a ventricular-peritoneal (VP) shunt is the typical neurosurgery method for treating hydrocephalus following TBI. Nevertheless, under certain circumstances, VP shunts fail and an interdisciplinary approach is essential to improve patients’ outcomes. Herein, we present the case of a previously healthy young male patient who successfully underwent a surgical treatment following TBI. The aim of this case report is to share the knowledge gained at Centro Hospitalar Universitário do São João, in Portugal, regarding complications of VP shunts and how cranioplasty aided in the resolution of the problem.
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spelling pubmed-100753352023-04-06 Severe Traumatic Brain Injury and Ventriculoperitoneal Shunt Challenges: A Case Report Cunha, Lucie Pereira, Eduarda Cureus Emergency Medicine Traumatic brain injury (TBI) is an acquired damage to the brain caused by an external mechanical force and may result in temporary or long-term disability. It is a prevalent condition that highlights the need for increased awareness. Despite advances in the technology used to monitor and guide therapy, it is a difficult and complex disease process to manage. Elevated intracranial pressure (ICP), a complication of neurologic injury, is associated with increased mortality and worse outcomes. Decompressive craniectomy is effective in controlling ICP and is potentially lifesaving in patients who have failed medical therapy. As a long-term treatment, implanting a ventricular-peritoneal (VP) shunt is the typical neurosurgery method for treating hydrocephalus following TBI. Nevertheless, under certain circumstances, VP shunts fail and an interdisciplinary approach is essential to improve patients’ outcomes. Herein, we present the case of a previously healthy young male patient who successfully underwent a surgical treatment following TBI. The aim of this case report is to share the knowledge gained at Centro Hospitalar Universitário do São João, in Portugal, regarding complications of VP shunts and how cranioplasty aided in the resolution of the problem. Cureus 2023-03-06 /pmc/articles/PMC10075335/ /pubmed/37033578 http://dx.doi.org/10.7759/cureus.35828 Text en Copyright © 2023, Cunha et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Emergency Medicine
Cunha, Lucie
Pereira, Eduarda
Severe Traumatic Brain Injury and Ventriculoperitoneal Shunt Challenges: A Case Report
title Severe Traumatic Brain Injury and Ventriculoperitoneal Shunt Challenges: A Case Report
title_full Severe Traumatic Brain Injury and Ventriculoperitoneal Shunt Challenges: A Case Report
title_fullStr Severe Traumatic Brain Injury and Ventriculoperitoneal Shunt Challenges: A Case Report
title_full_unstemmed Severe Traumatic Brain Injury and Ventriculoperitoneal Shunt Challenges: A Case Report
title_short Severe Traumatic Brain Injury and Ventriculoperitoneal Shunt Challenges: A Case Report
title_sort severe traumatic brain injury and ventriculoperitoneal shunt challenges: a case report
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10075335/
https://www.ncbi.nlm.nih.gov/pubmed/37033578
http://dx.doi.org/10.7759/cureus.35828
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