Issue release date: 23.01.2024
Turkish Neurosurgery
2011 , Vol 21 , Num 1
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
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