Hemorrhagic subdural effusion complicating an endoscopic III ventriculostomy

2000 ◽  
Vol 16 (5) ◽  
pp. 312-314 ◽  
Author(s):  
Yoshihisa Maeda ◽  
T. Inamura ◽  
Takato Morioka ◽  
Hiroshi Muratani ◽  
Masashi Fukui
Keyword(s):  
Subdural Effusion ◽  
Iii Ventriculostomy

scholarly journals Hemorrhagic abdominal pseudocyst following ventriculoperitoneal shunt: a case report

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hong-Cai Wang ◽  
Yi-Lei Tong ◽  
Shi-Wei Li ◽  
Mao-Song Chen ◽  
Bo-Ding Wang ◽  
...  
Keyword(s):  
Fibrous Tissue ◽  
Clinical Signs ◽  
Chronic Subdural Hematoma ◽  
Normal Pressure ◽  
Cystic Mass ◽  
Shunt Revision ◽  
Subdural Effusion ◽  
Palpable Mass ◽  
Vp Shunt ◽  
Abdominal Pseudocyst

Abstract Background Abdominal cerebrospinal fluid (CSF) pseudocyst is an uncommon but important complication of ventriculoperitoneal (VP) shunts. While individual articles have reported many cases of abdominal CSF pseudocyst following VP shunts, no case of a hemorrhagic abdominal pseudocyst after VP shunts has been reported so far. Case presentation This article reports a 68-year-old woman with a 4-month history of progressive abdominal pain and distention. She denied any additional symptoms. A VP shunt was performed 15 years earlier to treat idiopathic normal pressure hydrocephalus and no other abdominal surgery was performed. Physical examination revealed an elastic palpable mass in her right lower abdomen, which was dull to percussion. Abdominal computed tomography (CT) scan indicated a large cystic collection of homogenous iso-density fluid in the right lower abdominal region with clear margins. The distal segment of the peritoneal shunt catheter was located within the cystic mass. Abdominal CSF pseudocyst was highly suspected as a diagnosis. Laparoscopic cyst drainage with removal of the whole cystic mass was performed, 15-cm cyst which found with thick walls and organized chronic hematic content. No responsible vessel for the cyst hemorrhage was identified. No further shunt revision was placed. Histological examination showed that the cyst wall consisted of outer fibrous tissue and inner granulation tissue without epithelial lining, and the cystic content was chronic hematoma. The patient had an uneventful postoperative course and remained asymptomatic for 8-mo follow-up. Conclusion To the best of our knowledge, this is the first report of hemorrhagic onset in the abdominal pseudocyst following VP shunt. Such special condition can accelerate the appearance of clinical signs of the abdominal pseudocyst after VP shunts, and its mechanisms may be similar to the evolution of subdural effusion into chronic subdural hematoma (CSDH).

Spontaneous acute bleeding within subdural effusion from dural metastasis of gastric cancer: A case report

Neurocirugía ◽  
2021 ◽  
Author(s):  
Alejandro Augusto Ortega Rodriguez ◽  
Carlos Miguel Cohn Reinoso ◽  
Gemma Mateu Esquerda ◽  
Jordi de Manuel-Rimbau Muñoz
Keyword(s):  
Gastric Cancer ◽  
Case Report ◽  
Subdural Effusion ◽  
Acute Bleeding ◽  
Dural Metastasis

Leukocyte Lactate Dehydrogenase in Bacterial Meningitis

PEDIATRICS ◽  
1974 ◽  
Vol 54 (1) ◽  
pp. 27-33
Author(s):  
David W. Powers ◽  
Elia M. Ayoub
Keyword(s):  
Lactate Dehydrogenase ◽  
Bacterial Meningitis ◽  
Newborn Infants ◽  
Neonatal Meningitis ◽  
Subdural Effusion ◽  
Upper Limit ◽  
Ldh Activity ◽  
Initiation Of Therapy ◽  
Peripheral Leukocytes ◽  
Normal Controls

Lactate dehydrogenase (LDH) was assayed in peripheral leukocytes of 32 children with bacterial meningitis, nine children with nonbacterial meningitis, and 24 age-matched, healthy controls. Leukocyte LDH activity in patients with bacterial meningitis was significantly higher than in patients with nonbacterial meningitis (p < 0.01) and normal controls (p < 0.001). Eighty-eight percent of the patients with bacterial meningitis had leukocyte LDH values exceeding, 150 units/106 WBC, the upper limit of normal value for controls. Nitroblue tetrazolium (NBT) dye tests performed on 23 patients with bacterial meningitis were elevated in ten patients (43%). The elevation of leukocyte LDH activity in patients with bacterial meningitis appears to be independent of the number of circulating granulocytes or the presence of bacteremia. A major factor which appeared to influence the leukocyte LDH activity was the duration of adequate antibiotic therapy. Sequential determinations showed a return of the LDH values to normal approximately ten days after the initiation of therapy. A rise in leukocyte LDH was encountered in two patients with subdural effusion. The finding of significantly elevated leukocyte LDH values in three newborn infants with neonatal meningitis and sepsis suggests that this test may be of value in the diagnosis of neonatal sepsis.

scholarly journals Endoscopic-assisted surgery for skull defects with subdural effusion

2020 ◽  
Author(s):  
Jian-Yun Zhou ◽  
Xin Zhang ◽  
Hai-Bin Gao ◽  
Ze Cao ◽  
Wei Sun
Keyword(s):  
Subdural Effusion ◽  
Skull Defects
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