Delayed Intracerebral Hemorrhage Secondary to Ventriculoperitoneal Shunt ZA Case Report and Literature Review

作者：Ma, Li; Chen, Yi-Li; Yang, Shu-Xu; Wang, Yi-Rong^*

来源：Medicine, 2015, 94(47): e2029.

DOI：10.1097/MD.0000000000002029

• INSERTION
• HYDROCEPHALUS

The ventriculoperitoneal (VP) shunt is a routine procedure for cerebrospinal fluid (CSF) diversion, and is associated with many complications. A delayed hemorrhage after the VP shunt surgery, however, is quite rare. In this study, we report a case involving late-onset hemorrhage. The 67-year-old male patient with a history of head trauma and brain surgery underwent a VP shunt placement for hydrocephalus. The surgery course was uneventful and no bleeding was revealed in the first computed tomographic (CT) scan after the procedure. However, a massive intraparenchymal and intraventricular hemorrhage occurred 8h following adjustment of the valve system on the 8th day after surgery.Erosion of the vasculature by catheter cannulation and a sudden reduction of CSF pressure after downregulation of the valve could be one of the possible causes of the intracerebral hemorrhage (ICH).

• 出版日期2015-11
• 单位浙江大学