HEMATOMA INTRAPARENQUIMATOSA PDF
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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Loading Stack – 0 images remaining. Support Radiopaedia and see fewer ads. Bleeding secondary to ventricular puncture may be detected on imaging studies ultrasonography, computerized tomography-CT, magnetic resonance imaging-MRIbut they are not ordered in uncomplicated cases 22 ; therefore, the incidence of delayed intracerebral hemorrhage following ventricular cannulation is difficult to establish.
Diagnosis and treatment of diffuse intravascular coagulation following cerebral trauma. The operative procedure was uneventful; correct placement of the ventricular catheter was accomplished after one pass. Delayed apoplexy following ventricular puncture. Intraparennquimatosa possible factor we think could have influence it is the handling of the valve system; the patient deteriorated five days after changing its opening pressure from mmH 2 O to 80mmH 2 O ; nevertheless, the ventricular size didn’t reduce following the manipulation of the valve, as the CT scan performed at the moment of the deterioration demonstrated.
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Small amounts of blood are frequently recognized in the ventricle or in the parenchyma along the catheter path 16but clinically significant lesions, however, are uncommon 7,15, On the other hand, intratumoral hemorrhage has been described following ventricular cannulation 24,25, Journal of Ultrasound in Medicine ; 2: All of us know complications following insertion of hematomz CSF shunt, such as infection, obstruction, subdural hematoma, malfunction, seizures, migrating or kinked catheter 19,23 ; obstruction or blockage of the ventricular and abdominal ends of the tubing and infection of the system are the major problems of CSF shunting procedures.
Complications of ventriculoperitoneal shunting and a critical comparison of the three-piece and one-piece systems.
Surgical Neurology ; 3: Disseminated intravascular coagulation as a complication of ventricular catheter placement. 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 the 7 th postoperative day 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.
Report of two cases. CT scans are not often obtained within the first week after an uneventful ventricular shunting procedure, so the true incidence of intracerebral hemorrhage after it is difficult to know.
Hematoma subdural – Wikipédia, a enciclopédia livre
Intraventricular hemorrhage following ventriculoperitoneal shunt placement: Case report and literature review.
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.
She was operated on for revision of the VP shunt that proved to be obstructed; it was removed and we inserted an external ventricular drainage through a right frontal burr hole. The mechanism in these five patients was more likely disruption of a cerebral blood vessel by the catheter; the normal pulsations of the CSF transmitted to the tubing might have caused the catheter to erode through a blood vessel with subsequent intracerebral hemorrhage.
To quiz yourself on this article, log in to see multiple choice questions. Intratumoral hemorrhage in posterior fossa tumors after ventricular drainage. Negative intracranial pressure hydrocephalus in adults with shunts and its relationship to the production of subdural hematoma. Here we report another case of this unusual complication, review the previous literature about cerebral hemorrhagic complications after ventricular shunting procedures and discuss the supposed causative factors and mechanisms involved in this infrequent event.
The subsequent improvement was slight; she remained conscious, with open eyes, but without verbal response and submission. The intraarenquimatosa of drainage obstructed repeatedly and the ventricular catheter was inserted in the left frontal horn and in the right temporal horn of the lateral ventricles subsequently. Case 10 Case Histologic studies of the brain following head trauma. The past history was unremarkable. The cause of the right occipital intraparenchymal hemorrhage in our patient remains unknown; the mechanism could have been the erosion intraparenquimatoosa a surface or deeper cerebral blood vessel secondary to a close contact between the tubing and the blood vessel, as the cases described by Savitz hemtaoma and Snow She initially did quite well, although very slowly.
Journal of Neurosurgery ; 3: Intracerebral bleed Intracerebral hemorrhage Haemorrhagic stroke Intraparenchymal cerebral haemorrhage Intraparenchymal cerebral bleed Intraparenchymal cerebral hemorrhage Intracerebral haemorrhages Intraparenchymal cerebral hemorrhages Intraparenchymal cerebral bleeds Intraparenchymal cerebral haemorrhages Intracerebral hemorrhages Intracerebral bleeds Intra-cerebral haemorrhage.
Read it at Google Books – Find it at Amazon. In the pediatric population intraparenqiumatosa hemorrhage may be seen after 0. Detection of shunt-induced intracerebral hemorrhage by postoperative skull films: Because of the absence of improvement and no decreased ventricular size CT scan performed after 24 hours Figure 4the valve was reprogrammed, this time at 80 mmH 2 O; after it, the patient improved in attention and verbal response.
She deteriorated five days later becoming less alert, without collaboration. We report a case of delayed intraparenchymal hemorrhage, along the path of the ventricular catheter, which occurred six days after a VP shunting procedure and review the previous literature about this rare complication. 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.
Delayed intracerebral hemorrhage after ventriculoperitoneal shunting. Shunt implantation reducing the incidence of shunt infection. Intratumoral hemorrhage after a ventriculoperitoneal shunting intraparenquimattosa. Udvarhelyi et al 23 reported two cases of intracerebral hematoma after VP intraparenqulmatosa among 55 cases of normal pressure hydrocephalus. The patient deteriorated progressively, with renal failure and fever toward the multiorganic failure that caused the death of the patient on May hematmoa, We can find some reports of such a complication 9,16,19,23 in which the hemorrhage occurred directly after the operative procedure.
Child’s Brain ; 3: Case report A 64 year-old woman was admitted to the neurosurgical department intraparenquimatsoa our hospital on January 20,being diagnosed of subarachnoid hemorrhage grade III, Hunt-Hess scale.
She was brought because of transient loss of conciousness for several minutes following a sudden headache in the morning. Mascalchi 14 presented in the case of a patient with an extensive intraparenchymal hemorrhage intaparenquimatosa from the catheter of the VP shunt 12, Snow 22 reported an incidence of moderate hemorrhage after ventricular shunting procedures of 0.
Case 5 Case 5.
In this case, a right occipital intraparenchymal hematoma and associated intraventricular hemorrhage hemtaoma six days after the operation for hydrocephalus secondary to subarachnoid hemorrhage in a 64 year old woman.