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CC BY 4.0 · Surg J (N Y) 2016; 02(04): e139-e142
DOI: 10.1055/s-0036-1594245
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Remote Cerebellar Hemorrhage Following Lumboperitoneal Shunt Insertion: A Rare Case Report

Fatih Ayvalık
1   Clinic of Neurosurgery, Ministry of Health Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
,
Rafet Ozay
1   Clinic of Neurosurgery, Ministry of Health Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
,
Erhan Turkoglu
1   Clinic of Neurosurgery, Ministry of Health Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
,
Mehmet Serdar Balkan
1   Clinic of Neurosurgery, Ministry of Health Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
,
Zeki Şekerci
1   Clinic of Neurosurgery, Ministry of Health Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
› Author Affiliations
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Publication History

15 June 2016

13 October 2016

Publication Date:
01 December 2016 (online)

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Abstract

Idiopathic intracranial hypertension is characterized by high intracranial pressure without hydrocephalus or intracranial mass. Surgical treatment includes optic nerve fenestration and insertion of ventriculoperitoneal and lumboperitoneal (LP) shunts. For decreasing intracranial pressure, cerebrospinal fluid (CSF) LP shunt is widely used for the surgical management; it also carries complications such as shunt migration, venous sinus thrombosis, subarachnoid hemorrhage, and subdural and intracerebral hematoma. A 52-year-old man was admitted to the neurosurgery clinic with severe headache, retro-orbital pain, and blurred vision. Lumbar puncture demonstrated that the CSF opening pressure was 32 cm H2O. A nonprogrammable LP shunt with two distal slit valves was inserted. Shortly after the surgery, his condition deteriorated and he became comatose. Immediate computed tomography scan revealed cerebellar hemorrhage and acute hydrocephalus. Development of remote cerebellar hemorrhage following LP shunt is rare. We discuss this rare event and the applicable literature.

Keywords

cerebellar hemorrhage - complication - lumboperitoneal shunt
 

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