Document Detail

Pleural effusions appearing in the rehabilitation ward after ventriculoperitoneal shunts: a report of two adult cases and a review of the literature.
MedLine Citation:
PMID:  15204323     Owner:  NLM     Status:  MEDLINE    
This study presents two adult patients who experienced pleural effusion during hospitalization for stroke rehabilitation therapy after ventriculoperitoneal shunt placement for normal pressure hydrocephalus associated with aneurysmal subarachnoid haemorrhage. The pleural effusion appeared without migration of the catheter into the thoracic cavity. Because of respiratory insufficiency, which prevented progress in their rehabilitation programme, thoracentesis was repeated for recurrent pleural effusions, the composition of which differed significantly from that of cerebrospinal fluid. Both cases had past histories of laparostomies; therefore, the distal end of the catheter was placed in the right anterior subphrenic recess. One was able to resolve the pleural effusion and rehabilitate the patients by replacing the ventriculoperitoneal shunt with a vetriculoatrial shunt. In the literature, there have been only 23 reports of pleural effusion associated with a ventriculoperitoneal shunt. Among those reports, four involved pleural effusion without migration of the distal catheter; however, all of those cases were in children. Thus, this study reports the first adult cases of pleural effusion without migration of the catheter into the pleural cavity and discusses a putative mechanism.
Hikaru Muramatsu; Kimiko Koike
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Brain injury     Volume:  18     ISSN:  0269-9052     ISO Abbreviation:  Brain Inj     Publication Date:  2004 Aug 
Date Detail:
Created Date:  2004-06-18     Completed Date:  2004-07-15     Revised Date:  2014-11-14    
Medline Journal Info:
Nlm Unique ID:  8710358     Medline TA:  Brain Inj     Country:  England    
Other Details:
Languages:  eng     Pagination:  835-44     Citation Subset:  IM    
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MeSH Terms
Hydrocephalus, Normal Pressure / etiology,  radiography,  surgery
Middle Aged
Pleural Effusion / etiology*,  radiography
Subarachnoid Hemorrhage / complications,  surgery
Tomography, X-Ray Computed
Ventriculoperitoneal Shunt / adverse effects*

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