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Delayed Intracerebral Hemorrhage after Placement of a Ventriculoperitoneal Shunt in a Case of Hydrocephalus: A Rare Case Report and Review of Literature
- Source :
- Journal of Neurosciences in Rural Practice, Journal of Neurosciences in Rural Practice, Vol 10, Iss 03, Pp 533-536 (2019)
- Publication Year :
- 2019
- Publisher :
- Thieme Medical and Scientific Publishers, 2019.
-
Abstract
- Ventriculoperitoneal (VP) shunt is a frequently performed operation to achieve cerebrospinal fluid (CSF) diversion but is associated with many complications. Postoperative delayed intracerebral hemorrhage is a kind of rare but catastrophic complication of a VP shunt which questions the survival of a seemingly recovered patient. Here, we present one such case where the patient presented to casualty in altered sensorium and with a history of vomiting. On examination, the Glasgow Coma Scale (GCS) score was E2V1M3; pupils were middilated but reactive. Computerized tomography of the brain showed ventriculomegaly and hydrocephalus, and an emergency VP shunt was done. There was an initial phase of good recovery followed by sudden loss consciousness, vomiting, and a fall in the GCS scores on postoperative day 7. Computed tomography showed an intracerebral hematoma along the shunt track and an intraventricular bleed. The presumed cause for this occurrence is a deranged coagulation profile.
- Subjects :
- medicine.medical_specialty
delayed
Case Report
030218 nuclear medicine & medical imaging
lcsh:RC321-571
03 medical and health sciences
0302 clinical medicine
medicine
ventriculoperitoneal shunt
lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry
Intracerebral hemorrhage
business.industry
General Neuroscience
Glasgow Coma Scale
Bleed
medicine.disease
intracerebral hemorrhage
Hydrocephalus
Surgery
Shunt (medical)
Vomiting
Neurology (clinical)
medicine.symptom
business
Complication
030217 neurology & neurosurgery
Ventriculomegaly
Subjects
Details
- Language :
- English
- ISSN :
- 09763155 and 09763147
- Volume :
- 10
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Journal of Neurosciences in Rural Practice
- Accession number :
- edsair.doi.dedup.....9c38ae672a861b99ed49e917e7458804