Multiple simultaneous intracerebral hemorrhages following accidental massive lumbar cerebrospinal fluid drainage: case report and literature review.
Neurol India
;
2006 Dec; 54(4): 421-4
Artículo
en Inglés
| IMSEAR
| ID: sea-121608
ABSTRACT
Multiple simultaneous intracerebral hemorrhages (ICH) are uncommon. We report the case of an 80-year-old woman with previous diagnosis of normal pressure hydrocephalus and who was brought to our hospital with altered mental status and urinary incontinence. Medical history of hypertension, hematological disorders or severe head trauma was absent. Platelet count and coagulation profile were unremarkable. An initial head computed tomography (CT) showed sulcal enlargement and ventricular dilatation, but no evidence of ICH. A tap test indicated as a guide to case selection for shunt surgery accidentally resulted in cerebrospinal fluid (CSF) overdrainage. The patient presented sudden neurological deterioration, with sluggishly responsive pupils and generalized tonic-clonic seizures. A new head CT demonstrated multiple supra and infratentorial ICH. The patient became comatose and had a fatal course. Hence, CSF overdrainage may either cause or precipitate multiple simultaneous ICHs, affecting both the infratentorial and supratentorial regions.
Texto completo:
Disponible
Índice:
IMSEAR (Asia Sudoriental)
Asunto principal:
Anciano de 80 o más Años
/
Femenino
/
Humanos
/
Tomografía Computarizada por Rayos X
/
Derivación Ventriculoperitoneal
/
Resultado Fatal
/
Hipotensión Intracraneal
/
Hidrocéfalo Normotenso
Límite:
Aged80
Idioma:
Inglés
Revista:
Neurol India
Año:
2006
Tipo del documento:
Artículo
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