Document Detail

Pineocytoma with massive intratumoral hemorrhage after ventriculoperitoneal shunt--case report.
MedLine Citation:
PMID:  9465590     Owner:  NLM     Status:  MEDLINE    
A 58-year-old male suffered a massive intratumoral hemorrhage after placement of a ventriculoperitoneal shunt before treatment for pineocytoma. At admission, he complained of headache, urinary incontinence, gait disturbance, and recent memory disturbance. His neurological examination revealed impaired memory and papilledema from hydrocephalus. Two days after the placement of the ventriculoperitoneal shunt, he suddenly became stuporous and Parinaud's sign appeared. Computed tomography showed a massive intratumoral hemorrhage occupying the third ventricle which had extended into the lateral ventricle. The infratentorial supracerebellar approach was used to remove the hematoma and the tumor. The histological diagnosis was pineocytoma. Intratumoral hemorrhage in pineocytoma after the placement of a ventriculoperitoneal shunt is rare, but should be kept in mind when a ventriculoperitoneal shunt is placed before a craniotomy.
K Matsumoto; T Imaoka; S Tomita; T Ohmoto
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurologia medico-chirurgica     Volume:  37     ISSN:  0470-8105     ISO Abbreviation:  Neurol. Med. Chir. (Tokyo)     Publication Date:  1997 Dec 
Date Detail:
Created Date:  1998-05-05     Completed Date:  1998-05-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0400775     Medline TA:  Neurol Med Chir (Tokyo)     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  911-5     Citation Subset:  IM    
Department of Neurological Surgery, Okayama University Medical School.
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MeSH Terms
Cerebral Hemorrhage / complications*,  diagnosis,  etiology*
Contrast Media
Gadolinium DTPA / diagnostic use
Hydrocephalus / surgery
Magnetic Resonance Imaging
Middle Aged
Ocular Motility Disorders / etiology
Pinealoma / complications*,  diagnosis
Pituitary Neoplasms / complications*,  diagnosis
Tomography, X-Ray Computed
Ventriculoperitoneal Shunt / adverse effects*
Reg. No./Substance:
0/Contrast Media; 80529-93-7/Gadolinium DTPA

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