Cerebral Venous Thrombosis after Ventriculoperitoneal Shunting: A Case Report
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- MATSUBARA Teppei
- Department of Neurosurgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba
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- AYUZAWA Satoshi
- Department of Neurosurgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba
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- AOKI Tsukasa
- Department of Neurosurgery, Ryugasaki Saiseikai Hospital
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- IKEDA Go
- Department of Neurosurgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba
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- SHIIGAI Masanari
- Department of Radiology, Graduate School of Comprehensive Human Sciences, University of Tsukuba
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- MATSUMURA Akira
- Department of Neurosurgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba
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抄録
Ventriculoperitoneal shunting (VPS) is a simple procedure, but there are several potential complications. We describe the first reported case of cerebral venous thrombosis (CVT) after VPS. A 69-year-old man suffering from normal pressure hydrocephalus underwent left VPS. Two months later he developed CVT and cerebral venous hemorrhage in the left frontal lobe. Computed tomography (CT) and magnetic resonance imaging (MRI) revealed the thrombus formation just adjacent to the shunt tube. One possible cause is compression of the cortical vein after brain shift and/or tension of the cortical vein due to intracranial hypotension. A protein C deficiency was also detected. Surgeons should be aware that cerebral venous thrombosis can occur after VPS.
収録刊行物
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- Neurologia medico-chirurgica
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Neurologia medico-chirurgica 54 (7), 554-557, 2014
一般社団法人 日本脳神経外科学会
