Turkish Neurosurgery 2011 , Vol 21 , Num 1
Intracerebral Hematoma Following Lumboperitoneal Shunt Insertion: A Rare Case Report
Erhan TURKOGLU1, Burak KAZANCI1, Ergun KARAVELIOGLU1, Metin SANLI1, Burcu KAZANCI2, Zeki SEKERCI1
1Ministry of Health Yildirim Beyazit Diskapi Education and Research Hospital, 1. Neurosurgery Clinic, Ankara, Turkey
2Ministry of Health Ulucanlar Eye Education and Research Hospital, Eye Clinic, Ankara, Turkey
DOI : 10.5137/1019-5149.JTN.2131-09.3 Lumboperitoneal shunting is widely used for the surgical management of pseudotumor cerebri and other pathologies such as communicating hydrocephalus. Although it is a safe method, it could be associated with complications including subarachnoid hemorrhage, subdural and rarely intracerebral hematoma. A 44-year-old female applied to our clinic with complaints of severe headache, retroorbital pain and blurred vision. Lumbar puncture demonstrated cerebrospinal fluid opening pressure of cmH2O. A non-programmable lumboperitoneal shunt with two distal slit valves was inserted due to pseudotumor cerebri. She deteriorated shortly after surgery. Immediate cranial computed tomography scan revealed a right parietal intracerebral hematoma. Development of intracerebral hematoma following lumboperitoneal shunt is a rare complication. We discuss this rare event accompanied by the literature. Keywords : Complication, Intracerebral hematoma, Lumboperitoneal shunt, Pseudotumor cerebri
Corresponding author : Erhan Turkoglu, drmet122@yahoo.com