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Remote Cerebellar Hemorrhage Following Lumboperitoneal Shunt Insertion: A Rare Case Report
Idiopathic intracranial hypertension is characterized by high intracranial pressure without hydrocephalus or intracranial mass. Surgical treatment includes optic nerve fenestration and insertion of ventriculoperitoneal and lumboperitoneal (LP) shunts. For decreasing intracranial pressure, cerebrospi...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Thieme Medical Publishers
2016
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5553480/ https://www.ncbi.nlm.nih.gov/pubmed/28825007 http://dx.doi.org/10.1055/s-0036-1594245 |
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author | Ayvalık, Fatih Ozay, Rafet Turkoglu, Erhan Balkan, Mehmet Serdar Şekerci, Zeki |
author_facet | Ayvalık, Fatih Ozay, Rafet Turkoglu, Erhan Balkan, Mehmet Serdar Şekerci, Zeki |
author_sort | Ayvalık, Fatih |
collection | PubMed |
description | Idiopathic intracranial hypertension is characterized by high intracranial pressure without hydrocephalus or intracranial mass. Surgical treatment includes optic nerve fenestration and insertion of ventriculoperitoneal and lumboperitoneal (LP) shunts. For decreasing intracranial pressure, cerebrospinal fluid (CSF) LP shunt is widely used for the surgical management; it also carries complications such as shunt migration, venous sinus thrombosis, subarachnoid hemorrhage, and subdural and intracerebral hematoma. A 52-year-old man was admitted to the neurosurgery clinic with severe headache, retro-orbital pain, and blurred vision. Lumbar puncture demonstrated that the CSF opening pressure was 32 cm H (2) O. A nonprogrammable LP shunt with two distal slit valves was inserted. Shortly after the surgery, his condition deteriorated and he became comatose. Immediate computed tomography scan revealed cerebellar hemorrhage and acute hydrocephalus. Development of remote cerebellar hemorrhage following LP shunt is rare. We discuss this rare event and the applicable literature. |
format | Online Article Text |
id | pubmed-5553480 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Thieme Medical Publishers |
record_format | MEDLINE/PubMed |
spelling | pubmed-55534802017-08-18 Remote Cerebellar Hemorrhage Following Lumboperitoneal Shunt Insertion: A Rare Case Report Ayvalık, Fatih Ozay, Rafet Turkoglu, Erhan Balkan, Mehmet Serdar Şekerci, Zeki Surg J (N Y) Idiopathic intracranial hypertension is characterized by high intracranial pressure without hydrocephalus or intracranial mass. Surgical treatment includes optic nerve fenestration and insertion of ventriculoperitoneal and lumboperitoneal (LP) shunts. For decreasing intracranial pressure, cerebrospinal fluid (CSF) LP shunt is widely used for the surgical management; it also carries complications such as shunt migration, venous sinus thrombosis, subarachnoid hemorrhage, and subdural and intracerebral hematoma. A 52-year-old man was admitted to the neurosurgery clinic with severe headache, retro-orbital pain, and blurred vision. Lumbar puncture demonstrated that the CSF opening pressure was 32 cm H (2) O. A nonprogrammable LP shunt with two distal slit valves was inserted. Shortly after the surgery, his condition deteriorated and he became comatose. Immediate computed tomography scan revealed cerebellar hemorrhage and acute hydrocephalus. Development of remote cerebellar hemorrhage following LP shunt is rare. We discuss this rare event and the applicable literature. Thieme Medical Publishers 2016-12-01 /pmc/articles/PMC5553480/ /pubmed/28825007 http://dx.doi.org/10.1055/s-0036-1594245 Text en https://creativecommons.org/licenses/by/4.0/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 work is properly cited. |
spellingShingle | Ayvalık, Fatih Ozay, Rafet Turkoglu, Erhan Balkan, Mehmet Serdar Şekerci, Zeki Remote Cerebellar Hemorrhage Following Lumboperitoneal Shunt Insertion: A Rare Case Report |
title | Remote Cerebellar Hemorrhage Following Lumboperitoneal Shunt Insertion: A Rare Case Report |
title_full | Remote Cerebellar Hemorrhage Following Lumboperitoneal Shunt Insertion: A Rare Case Report |
title_fullStr | Remote Cerebellar Hemorrhage Following Lumboperitoneal Shunt Insertion: A Rare Case Report |
title_full_unstemmed | Remote Cerebellar Hemorrhage Following Lumboperitoneal Shunt Insertion: A Rare Case Report |
title_short | Remote Cerebellar Hemorrhage Following Lumboperitoneal Shunt Insertion: A Rare Case Report |
title_sort | remote cerebellar hemorrhage following lumboperitoneal shunt insertion: a rare case report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5553480/ https://www.ncbi.nlm.nih.gov/pubmed/28825007 http://dx.doi.org/10.1055/s-0036-1594245 |
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