Late hypertensive intraventricular pneumocephalus after a ventriculo-peritoneal shunting procedure: a case report
A 45-year-old male with neurocysticercosis complicated by hydrocephalus underwent a ventriculo-peritoneal shunt procedure because of secondary hydrocephalus. Four months afterwards he developed an intraventricular pneumocephalus and a porencephalic cyst in the right temporal lobe. Neuroradiology ima...
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2012 |
| País: | Perú |
| Institución: | Colegio Médico del Perú |
| Repositorio: | Acta Médica Peruana |
| Idioma: | español |
| OAI Identifier: | oai:amp.cmp.org.pe:article/1207 |
| Acceso en línea: | https://amp.cmp.org.pe/index.php/AMP/article/view/1207 |
| Access Level: | acceso abierto |
| Palabra clave: | Hidrocefalia derivación ventrículo-peritoneal neumoencéfalo Hydrocephalus ventriculoperitoneal shunt pneumocephalus |
| Sumario: | A 45-year-old male with neurocysticercosis complicated by hydrocephalus underwent a ventriculo-peritoneal shunt procedure because of secondary hydrocephalus. Four months afterwards he developed an intraventricular pneumocephalus and a porencephalic cyst in the right temporal lobe. Neuroradiology imaging studies did not show any bone defect in the base of the cranium, but a brain CT scan showed a porencephalic cyst located next to the right tympanic segment. An external ventricular shunt was placed and the former ventriculoperitoneal shunt was taken out, and neurological signs and symptoms improved. Afterwards, a right mastoidectomy and excision of the external shunt were performed. Control CT scans showed a progressive reduction in the intraventricular air contents. The patient was discharged with no symptoms affecting him. Two months later, pneumocephalus disappeared. |
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