Cerebral Venous Thrombosis after Ventriculoperitoneal Shunting: A Case Report

Teppei MATSUBARA; Satoshi AYUZAWA; Tsukasa AOKI; Go IKEDA; Masanari SHIIGAI; Akira MATSUMURA

doi:10.2176/nmc.cr2012-0312

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Cerebral Venous Thrombosis after Ventriculoperitoneal Shunting: A Case Report

Teppei MATSUBARA, Satoshi AYUZAWA, Tsukasa AOKI, Go IKEDA, Masanari SHIIGAI, Akira MATSUMURA

著者情報

キーワード: cerebral venous thrombosis, ventriculoperitoneal shunting, intracranial hypotension, protein C deficiency

ジャーナルフリー早期公開

論文ID: cr2012-0312

DOI https://doi.org/10.2176/nmc.cr2012-0312

この記事には本公開記事があります。

The final version of this article is now available: Vol. 54 (2014), No. 7 pp. 554-557

詳細

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.

責任著者(Corresponding author)

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