Nontraumatic aneurysm rupture following an endoscopic third ventriculostomy and ventricular drainage: Case report of a rare complication

Nontraumatic aneurysm rupture following an endoscopic third ventriculostomy and ventricular drainage: Case report of a rare complication

Although endoscopic third ventriculostomy is a safe procedure, the authors report a case of aneurysmal subarachnoid hemorrhage as an unusual and serious complication of an endoscopic third ventriculostomy and ventricular drainage. A 60-year-old male presented with obstructive hydrocephalus caused by...

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Veröffentlicht in:Surgical neurology international 2015-01, Vol.6 (1), p.80
Hauptverfasser: Miyagi, Naohisa, Uchikado, Hisaaki, Aoki, Takachika, Sakata, Kiyohiko, Hirohata, Masaru, Morioka, Motohiro
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Case Report
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container_start_page 80
container_title Surgical neurology international
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creator Miyagi, Naohisa
Uchikado, Hisaaki
Aoki, Takachika
Sakata, Kiyohiko
Hirohata, Masaru
Morioka, Motohiro
description Although endoscopic third ventriculostomy is a safe procedure, the authors report a case of aneurysmal subarachnoid hemorrhage as an unusual and serious complication of an endoscopic third ventriculostomy and ventricular drainage. A 60-year-old male presented with obstructive hydrocephalus caused by midbrain tumors was admitted to our hospital. Endoscopic third ventriculostomy and external ventricular drainage were successfully performed. Two days after the operation, he became comatose, and a computed tomography (CT) scan revealed a diffuse subarachnoid hemorrhage. Emergency cerebral angiogram showed an aneurysm of the left internal carotid artery. Endovascular coil embolization of the ruptured aneurysm was then performed. The rupture of the aneurysm may have been induced by excessive cerebrospinal fluid drainage after the endoscopic third ventriculostomy. Planning for intracranial endoscopic procedures should consider that rupture of an unknown previously unruptured aneurysm is a possible complication.
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title Nontraumatic aneurysm rupture following an endoscopic third ventriculostomy and ventricular drainage: Case report of a rare complication
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