Document Detail

Overdrainage after endoscopic third ventriculostomy: an unusual case of chronic subdural hematoma--case report and review of the literature.
MedLine Citation:
PMID:  14968403     Owner:  NLM     Status:  MEDLINE    
Endoscopic third ventriculostomy is considered a safe technique for the treatment of obstructive hydrocephalus. However, the literature contains several reports of complications related to this procedure. We describe a case of chronic subdural hematoma (CSDH) after ETV, which required surgical evacuation, in a 69-year-old male patient completely asymptomatic up to the control MRI four weeks after the operation. We believe this unusual complication could result from the ICP changes caused by ETV. In our opinion, successful ETV gives a boost to CSF absorption, and overdrainage may evolve also in endoscopic treatment of obstructive hydrocephalus. This situation could be the starting point of the subdural collection. We review the literature and discuss the causes that may lead to CSDH after ETV procedure.
E Sgaramella; S Sotgiu; F M Crotti
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Minimally invasive neurosurgery : MIN     Volume:  46     ISSN:  0946-7211     ISO Abbreviation:  Minim Invasive Neurosurg     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2004-02-17     Completed Date:  2004-05-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9440973     Medline TA:  Minim Invasive Neurosurg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  354-6     Citation Subset:  IM    
Department of Neurosurgery, Sassari University School of Medicine, Viale Dante 1b, 07100 Sassari, Italy.
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MeSH Terms
Drainage / adverse effects*
Hematoma, Subdural, Chronic / diagnosis,  etiology*,  surgery
Hydrocephalus / surgery*
Neuroendoscopy / adverse effects*
Third Ventricle / surgery*
Ventriculostomy / adverse effects*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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