A pitfall of neuroendoscopic intraventricular hematoma removal - delayed obstructive hydrocephalus caused by a small remnant clot

Fuminari Komatsu, Naoki Wakuta, Mika Komatsu, Mitsutoshi Iwaasa, Tooru Inoue

研究成果: Article査読

8 被引用数 (Scopus)

抄録

A 57-year-old female presented with a left putaminal hemorrhage, intraventricular hematoma (IVH), and acute obstructive hydrocephalus. Neuroendoscopic surgery was performed for the IVH. Three days after successful IVH removal and improvement of her consciousness, the patient lapsed into a comatose state due to hydrocephalus caused by obstruction of the mesencephalic aqueduct by a small remnant clot. The small clot was identified by constructive interference with steady state magnetic resonance imaging and was removed during a second-look operation. Even after the cerebrospinal fluid circulation improves following neuroendoscopic surgery for IVH, the patient may nevertheless develop a lifethreatening condition without warning signs in the subacute phase. Awareness of this complication will lead to early diagnosis and correct management.

本文言語English
ページ(範囲)293-295
ページ数3
ジャーナルneurologia medico-chirurgica
51
4
DOI
出版ステータスPublished - 04-2011
外部発表はい

All Science Journal Classification (ASJC) codes

  • 外科
  • 臨床神経学

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