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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Niimura, Manabu Taniguchi, Makoto Takai, Keisuke |
| Description | Author Affiliation: Niimura M ( Department of Neurosurgery, Tokyo Metropolitan Neurological Hospital, Tokyo, Japan.); Takai K ( Department of Neurosurgery, Tokyo Metropolitan Neurological Hospital, Tokyo, Japan.); Taniguchi M ( Department of Neurosurgery, Tokyo Metropolitan Neurological Hospital, Tokyo, Japan.) |
| Abstract | We report two cases with postoperative epidural haematomas (EDHs) associated with hydrocephalus and discuss the cause of haematoma development on the basis of a literature review. A 13-year-old boy presented with obstructive hydrocephalus caused by a sellar mass lesion. Multifocal EDHs occurred after partial resection of the lesion via a transcallosal approach following ventricular drainage. In the second case, a 26-year-old man who had a history of ventriculoperitoneal shunting for congenital hydrocephalus presented with hydrocephalus caused by ventricular catheter obstruction. An EDH occurred after replacement of the ventricular catheter with a new burr hole opening. On the basis of a review of 19 cases including our two cases, the authors concluded that postoperative EDH development associated with hydrocephalus was mostly caused by intraoperative overdrainage of cerebrospinal fluid, resulting in rapid shrinkage of the brain with dilation of the epidural space, a situation that may have caused dural venous bleeding. |
| Volume Number | 2015 |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Craniotomy Adverse Effects Equipment Failure Hematoma, Epidural, Cranial Etiology Hydrocephalus Ventriculoperitoneal Shunt Adolescent Adult Brain Neoplasms Surgery Drainage Germinoma Humans Congenital Male Postoperative Complications Tomography, X-Ray Computed Instrumentation Case Reports Journal Article Review Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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