Neurosurg Focus. Oct 15;15(4):E4. Intracerebral hematoma from aneurysm rupture. Abbed KM(1), Ogilvy CS. Author information: (1)Department of. This recommendation is based upon the potential for patients with ICH to deteriorate from hematoma expansion, elevations in intracranial. Early surgery versus initial conservative treatment in patients with spontaneous supratentorial lobar intracerebral haematomas (STICH II): A.

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Intracerebral haemorrhage | Radiology Reference Article |

A CT scan performed 15 days after the operation revealed marked ventricular dilatation compared with previous imaging study performed on admission Figure 3. Disseminated intravascular coagulation associated with massive brain injury.

In several large series reviewing the complications of this procedure authors don’t mention intracerebral hemorrhage 17, Discussion Ventriculoperitoneal shunting VP is one of the most frequently performed procedure in our daily neurosurgical practice. This type of complication had not been described in the literature untilwhen Matsumura et al reported a case of delayed intracerebral hemorrhage that occurred after a ventriculoperitoneal VP shunting procedure in a 17 year-old boy on intaparenquimatosa 7 th postoperative day Bleeding along the path of the ventricular catheter and into the ventricular system has been reported previously following VP shunt placement 2,6,10,14,19,23 ; it may be caused by puncture of infraparenquimatosa choroid plexus, repeated attempts at perforation of the ventricles or inadequate placement of the tubing within the parenchyma of the brain.

Case report and literature review.

It can be observed postsurgical changes related to the right frontal craniotomy and marked ventricular dilatation. It is a rare complication of VP shunting, with few cases reported previously intgaparenquimatosa the literature.

Intracerebral hematoma from aneurysm rupture.

CT scan showing a widespread subarachnoid hemorrhage within basal cisterns, both inhraparenquimatosa fissures and an interhemispheric hematoma. Results and complications in 55 patients with normal pressure hydrocephalus. Edit article Share article View revision history.

Cerebral damage following ventricular shunt for infantile hydrocephalus evaluated by computed tomography. Journal of Ultrasound in Medicine ; 2: Journal of Neurology, Neurosurgery and Psychiatry ; The third postoperative CT scan performed five daysafter the ventriculoperitoneal shunt insertion revealed a right intraparebquimatosa intraparenchymal hemorrhage along the path of the ventricular catheter and into the ventricular system; ventricular size remained without changes.


Journal of Neurosurgery ; Current diagnosis and treatment in neurology. The conventional cerebral angiography was not completed because of the appereance of left hemiparesis; so a CT angiogram was performed revealing a right pericallosal artery aneurysm Figure 2 which was supposed to be the cause of the bleeding.

Matsumura et al 15 described the case of a 17 yearold boy who developed a marked ventricular dilatation two years after an operation for a traumatic intracerebral hematoma.

The incidence in these reports varies from 0. Bleeding secondary to ventricular puncture may be detected on imaging studies ultrasonography, computerized tomography-CT, magnetic resonance imaging-MRIintraparnquimatosa they are intraparenquimatosz ordered in uncomplicated cases 22 ; therefore, the incidence of delayed intracerebral hemorrhage following ventricular cannulation is difficult to establish.

CT scan performed fifteen days after the clipping of the aneurysm. The subsequent improvement was slight; she remained conscious, with open eyes, but without verbal response and submission.

A 64 year-old woman was admitted to the neurosurgical department of our hospital on January 20,being diagnosed of subarachnoid hemorrhage grade III, Hunt-Hess scale. The operative procedure was uneventful; correct placement of the ventricular catheter was accomplished after one pass. Negative intracranial pressure hydrocephalus in adults with shunts and its relationship to the production of subdural hematoma.

Detection of shunt-induced intracerebral hemorrhage by postoperative skull films: In this case, a right occipital intraparenchymal hematoma and associated intraventricular hemorrhage occurred six days after the operation for hydrocephalus secondary to subarachnoid hemorrhage in a 64 year old woman.

Spontaneous intratumoral hemorrhage after ventriculoperitoneal shunting.

Hemorragia intracerebral

Ventriculoperitoneal shunting VP is one of the most frequently performed procedure in our daily neurosurgical practice. Intraventricular hemorrhage following ventriculoperitoneal shunt placement: Mascalchi 14 presented in the case of a patient with an extensive intraparenchymal hemorrhage far from the catheter of the VP shunt 12, Delayed intracerebral hemorrhage after ventriculoperitoneal shunt.

Disseminated intravascular coagulation as a complication of ventricular catheter placement. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. The CT angiogram revealed a right pericallosal artery aneurysm 2. Case 5 Case 5. The CT scan performed after this operative procedure demonstrated minimal intraparenchymal hematoma in the right occipital lobe, with less edema and minimal shift of the medium line. Diagnosis and treatment of diffuse intravascular coagulation following cerebral trauma.


The clinical course was unfavourable and the patient was again operated on for evacuation of the intraparenchymal and intraventricular hemorrhage through a right occipital craniotomy. Introduction Complications of cerebrospinal fluid CSF ventricular shunting have been reported 19,23 a lot of years ago, such as infections, shunt malfunction, subdural hematomas, seizures, migrating catheter, kinked tubing.

By this, a VP shunt was placed in the patient on March 11; through a right occipital burr hole a ventricular catheter was inserted in the right lateral ventricle, connected to a Hakim programmable valve pressure mmH 2 O. Complications of ventriculoatrial and ventriculoperitoneal shunts in a New Children’s Hospital.

Fukamachi explain on his report in that intracerebral hemorrhage after a ventricular shunting procedure is uncommon, usually occurring soon after surgery 6. Savitz et al reported in a series of adults operated on for primary insertion of a one-piece shunting system 18 ; each one was evaluated based on a CT scan obtained within 48 hours of surgery; no bleeding was observed in the CSF at the time of the ventricular cannulation; they recorded three cases of postoperative intraventricular hemorrhage and delayed hemorrhage around the catheter in the right parietal area was documented on postoperative CT scan in two patients.

Histologic studies of the brain following head trauma.

The past history was unremarkable. Disseminated intravascular coagulation DIC has been reported after head trauma 8,13brain tumor surgery 6 and VP shunting ICH on warfarin Case 1: An intracerebral hemorrhageor intraparenchymal cerebral hemorrhageis a subset of an intracranial hemorrhage.

This can encompass a number of entities that share the acute accumulation of blood in the parenchyma of the brain. Report of two cases.