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Journal of Korean Neurosurgical Society > Volume 48(4); 2010 > Article
Journal of Korean Neurosurgical Society 2010;48(4): 357-359.
doi: https://doi.org/10.3340/jkns.2010.48.4.357
Cerebral Venous Thrombosis Complicated by Hemorrhagic Infarction Secondary to Ventriculoperitoneal Shunting.
Won Soo Son, Jaechan Park
Department of Neurosurgery, Kyungpook National University Hospital, Daegu, Korea. jparkmd@hotmail.com
ABSTRACT
While a delayed intracerebral hemorrhage at the site of a ventricular catheter has occasionally been reported in literature, a delayed hemorrhage caused by venous infarction secondary to ventriculoperitoneal shunting has not been previously reported. In the present case, a 68-year-old woman underwent ventriculoperitoneal shunting through a frontal burr hole, and developed a hemorrhagic transformation of venous infarction on the second postoperative day. This massive venous infarction was caused by bipolar coagulation and occlusion of a large paramedian cortical vein in association with atresia of the rostral superior sagittal sinus. Thus, to eliminate the risk of postoperative venous infarction, technical precautions to avoid damaging surface vessels in a burr hole are required under loupe magnification in ventriculoperitoneal shunting.
Key Words: Hydrocephalus; Intracerebral hemorrhage; Postoperative complication; Venous infarction; Ventriculoperitoneal shunt
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