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Delayed Intracerebral Hematoma after Ventriculoperitoneal Shunt in the Context of Ruptured Brain Arteriovenous Malformation: A Literature Review

Hemorrhagic complications arising from ventricular drainage procedures are typically asymptomatic and of low volume. A particular subset of these complications, known as delayed intracranial hemorrhage (DICH), is however recognized for its particularly poor prognosis. We primarily aimed to identify...

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Autores principales: Dannhoff, Guillaume, Chibbaro, Salvatore, Mallereau, Charles-Henry, Ganau, Mario, Agbo-Ponzo, Martial, Santin, Marie des Neiges, Ollivier, Irène, Pop, Raoul, Proust, François, Todeschi, Julien
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10452536/
https://www.ncbi.nlm.nih.gov/pubmed/37626515
http://dx.doi.org/10.3390/brainsci13081159
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author Dannhoff, Guillaume
Chibbaro, Salvatore
Mallereau, Charles-Henry
Ganau, Mario
Agbo-Ponzo, Martial
Santin, Marie des Neiges
Ollivier, Irène
Pop, Raoul
Proust, François
Todeschi, Julien
author_facet Dannhoff, Guillaume
Chibbaro, Salvatore
Mallereau, Charles-Henry
Ganau, Mario
Agbo-Ponzo, Martial
Santin, Marie des Neiges
Ollivier, Irène
Pop, Raoul
Proust, François
Todeschi, Julien
author_sort Dannhoff, Guillaume
collection PubMed
description Hemorrhagic complications arising from ventricular drainage procedures are typically asymptomatic and of low volume. A particular subset of these complications, known as delayed intracranial hemorrhage (DICH), is however recognized for its particularly poor prognosis. We primarily aimed to identify epidemiological characteristics associated with DICH, to shed light on its occurrence and potential risk factors. To do so, we performed a retrospective analysis of a series of ten patients who presented with DICH in the context of a ruptured brain arteriovenous malformation (bAVM) and a systematic literature review of all DICH cases reported in the literature. Our ten patients showed delayed neurological deterioration after a ventriculoperitoneal shunt (VPS) procedure, with a computed tomography (CT) scan revealing a DICH surrounding the ventricular catheter, distinct and away from the nidus of their previously ruptured bAVM. Four patients (40%) rapidly declined and passed away, three (30%) required surgical management and the remaining three (30%) demonstrated gradual clinical improvement with conservative management. In the literature, most patients presenting with DICH had hydrocephalus associated with neurovascular disorders (47% of cases), such as bAVM rupture in our present series. These constatations point out the significance of the underlying pathologies potentially being predisposed to these unusual complications.
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spelling pubmed-104525362023-08-26 Delayed Intracerebral Hematoma after Ventriculoperitoneal Shunt in the Context of Ruptured Brain Arteriovenous Malformation: A Literature Review Dannhoff, Guillaume Chibbaro, Salvatore Mallereau, Charles-Henry Ganau, Mario Agbo-Ponzo, Martial Santin, Marie des Neiges Ollivier, Irène Pop, Raoul Proust, François Todeschi, Julien Brain Sci Article Hemorrhagic complications arising from ventricular drainage procedures are typically asymptomatic and of low volume. A particular subset of these complications, known as delayed intracranial hemorrhage (DICH), is however recognized for its particularly poor prognosis. We primarily aimed to identify epidemiological characteristics associated with DICH, to shed light on its occurrence and potential risk factors. To do so, we performed a retrospective analysis of a series of ten patients who presented with DICH in the context of a ruptured brain arteriovenous malformation (bAVM) and a systematic literature review of all DICH cases reported in the literature. Our ten patients showed delayed neurological deterioration after a ventriculoperitoneal shunt (VPS) procedure, with a computed tomography (CT) scan revealing a DICH surrounding the ventricular catheter, distinct and away from the nidus of their previously ruptured bAVM. Four patients (40%) rapidly declined and passed away, three (30%) required surgical management and the remaining three (30%) demonstrated gradual clinical improvement with conservative management. In the literature, most patients presenting with DICH had hydrocephalus associated with neurovascular disorders (47% of cases), such as bAVM rupture in our present series. These constatations point out the significance of the underlying pathologies potentially being predisposed to these unusual complications. MDPI 2023-08-03 /pmc/articles/PMC10452536/ /pubmed/37626515 http://dx.doi.org/10.3390/brainsci13081159 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Dannhoff, Guillaume
Chibbaro, Salvatore
Mallereau, Charles-Henry
Ganau, Mario
Agbo-Ponzo, Martial
Santin, Marie des Neiges
Ollivier, Irène
Pop, Raoul
Proust, François
Todeschi, Julien
Delayed Intracerebral Hematoma after Ventriculoperitoneal Shunt in the Context of Ruptured Brain Arteriovenous Malformation: A Literature Review
title Delayed Intracerebral Hematoma after Ventriculoperitoneal Shunt in the Context of Ruptured Brain Arteriovenous Malformation: A Literature Review
title_full Delayed Intracerebral Hematoma after Ventriculoperitoneal Shunt in the Context of Ruptured Brain Arteriovenous Malformation: A Literature Review
title_fullStr Delayed Intracerebral Hematoma after Ventriculoperitoneal Shunt in the Context of Ruptured Brain Arteriovenous Malformation: A Literature Review
title_full_unstemmed Delayed Intracerebral Hematoma after Ventriculoperitoneal Shunt in the Context of Ruptured Brain Arteriovenous Malformation: A Literature Review
title_short Delayed Intracerebral Hematoma after Ventriculoperitoneal Shunt in the Context of Ruptured Brain Arteriovenous Malformation: A Literature Review
title_sort delayed intracerebral hematoma after ventriculoperitoneal shunt in the context of ruptured brain arteriovenous malformation: a literature review
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10452536/
https://www.ncbi.nlm.nih.gov/pubmed/37626515
http://dx.doi.org/10.3390/brainsci13081159
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