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Intraoperative ventricular volume restoration by intraventricular Ringer solution injection in a normal-pressure hydrocephalus patient with traumatic bilateral acute subdural hematoma and ventricular system collapse caused by cerebrospinal fluid shunt overdrainage: illustrative case

Dalibor Sila, Karim Morsi, Markus Lenski, and Stefan Rath

Cerebrospinal fluid (CSF) overdrainage is a common complication of ventriculoperitoneal shunt devices. 1 Acute subdural hematomas are of particular concern in patients with normal-pressure hydrocephalus treated with CSF shunting because even minor head trauma may result in subdural hematoma formation. The presence of a ventricular shunt facilitates further expansion of the subdural hematoma and often necessitates surgical treatment, including subdural hematoma evacuation and shunt ligation. 2 The treatment options are potentially heterogeneous, but in the

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The role of endoscopic third ventriculostomy in adult patients with hydrocephalus

Clinical article

Michael D. Jenkinson, Caroline Hayhurst, Mohammed Al-Jumaily, Jothy Kandasamy, Simon Clark, and Conor L. Mallucci

bleeding from the cortical tract that obscured the endoscopic view and necessitated EVD placement. There were 2 additional minor intraoperative hemorrhages (an EVD was required in 1 case), 2 CSF leaks, and 2 subdural hematomas identified on imaging that were not clinically symptomatic. Two patients had transient abducent nerve palsy. There were no cases of postprocedural CSF infections and no procedure-related deaths. Shunt Independence A successful outcome was obtained in 148 patients (78%) in the present study: 107 (83%) in the primary ETV group and 41 (67%) in

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Endoscopic third ventriculostomy for VP shunt malfunction during the third trimester of pregnancy: illustrative case

Ahmad K. Alhaj, Tariq Al-Saadi, Marie-Noëlle Hébert-Blouin, Kevin Petrecca, and Roy W. R. Dudley

): 339 – 342 . 10.1007/s00404-010-1379-3 21 Beni-Adani L , Siomin V , Segev Y , . Increasing chronic subdural hematoma after endoscopic III ventriculostomy . Childs Nerv Syst . 2000 ; 16 ( 7 ): 402 – 405 . 10.1007/s003810000298

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Evidence for increased intraabdominal pressure as a cause of recurrent migration of the distal catheter of a ventriculoperitoneal shunt: illustrative case

Christopher Lee, Lucinda Chiu, Pawan Mathew, Gabrielle Luiselli, Charles Ogagan, Rrita Daci, Brittany Owusu-Adjei, Rona S. Carroll, and Mark D. Johnson

complication rates. 19 Meanwhile, costs for patients include extended hospital stays, employment disruption, stress on caregivers, and the risk of intraoperative and postoperative complications. Thus, it is important to understand the underlying mechanisms of distal catheter migration so that this complication can be avoided. In a recent meta-analysis of 358 studies, the rates of surgical revision of CSF shunts were 7.6% and 33%, respectively, for major (shunt infection, tonsillar herniation, subdural hematoma, and CSF fistula) and minor complications (abdominal pain, valve

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Sinking skin flap syndrome in a patient with bone resorption after cranioplasty and ventriculoperitoneal shunt placement: illustrative case

Camryn R. Rohringer, Taryn J. Rohringer, Sumit Jhas, and Mehdi Shahideh

anticoagulants. On presentation, his Glasgow Coma Scale (GCS) score was 13, and computed tomography (CT) of the head revealed a 4-cm right temporal hematoma with acute subdural and subarachnoid blood, a left subdural hematoma, and skull fractures ( Fig. 1A and B ). At the time of neurosurgical assessment, his condition had deteriorated to a GCS score of 11, he was hemiplegic on the right side, and his Injury Severity Score was critical at 25. A second CT was performed to assess the evolution of his injuries causing this clinical deterioration, which demonstrated enlargement of

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Strongyloides hyperinfection syndrome due to corticosteroid therapy after resection of meningioma: illustrative case

Víctor Rodríguez Domínguez, Carlos Pérez-López, Catalina Vivancos Sánchez, Cristina Utrilla Contreras, Alberto Isla Guerrero, and María José Abenza Abildúa

corticosteroids in neurosurgery (e.g., chronic subdural hematoma, brain tumor, inflammatory pain, hypopituitarism) for long periods (before surgery, during the perioperative period, and after the surgery), it is important in neurosurgical practice to know the risk factors, epidemiology, and management to avoid delays in diagnosis and prevent the high mortality that this disease entails. 4 , 5 We report a case of Strongyloides hyperinfection syndrome in a patient diagnosed with a large sphenoid planum meningioma and treated with corticosteroids. Illustrative Case A

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Atlantoaxial wiring hardware failure resulting in intracranial hemorrhage and hydrocephalus: illustrative case

Anass Benomar, Harrison J. Westwick, Sami Obaid, André Nzokou, Sung-Joo Yuh, and Daniel Shedid

tomography (CT) of the head demonstrated subarachnoid and intraventricular hemorrhage with moderate hydrocephalus and signs of intracranial hypertension. Imaging also revealed a high cervical and posterior fossa subdural hematoma ( Fig. 1 ). She was transferred to our institution with a high-grade subarachnoid hemorrhage and hydrocephalus. FIG. 1. Axial noncontrast CT of the head showing upper cervical subdural hemorrhage ( A ), posterior fossa subarachnoid hemorrhage ( B ), intraventricular hemorrhage in the fourth ventricle ( B ), and hydrocephalus ( C ). She

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Can we build better? Challenges with geospatial and financial accessibility in the Caribbean. Illustrative case

Ellianne J dos Santos Rubio, Chrystal Calderon, Annegien Boeykens, and Kee B Park

. 12 Bullock MR , Chesnut R , Ghajar J , Surgical management of acute epidural hematomas . Neurosurgery . 2006 ; 58 ( 3 , suppl ): S7 – S15 , Si–iv . 13 Bullock MR , Chesnut R , Ghajar J , Surgical management of acute subdural hematomas . Neurosurgery . 2006 ; 58 ( 3 , suppl ): S16 – S24 , Si–iv . 14 Lee EJ , Hung YC , Wang LC , Chung KC , Chen HH . Factors influencing the functional outcome of patients with acute epidural hematomas: analysis of 200 patients undergoing surgery . J Trauma . 1998