Reversible Severe Brainstem Herniation and Obstructive Hydrocephalus from Cystoperitoneal Shunt Overdrainage.

World Neurosurg

Department of Neurological Surgery, University of Wisconsin, Madison, Wisconsin, USA. Electronic address:

Published: June 2019

AI Article Synopsis

  • A patient had a problem with low brain fluid pressure because their shunt was draining too much fluid.
  • An MRI showed that the brain was getting squished and blocking important pathways for fluid flow.
  • After fixing the shunt, the patient's symptoms and brain issues went away.

Article Abstract

We present a case of symptomatic intracranial hypotension secondary to CSF overdrainage from a cystoperitoneal shunt system. Brain MRI shows distortion of the midbrain with secondary occlusion of the cerebral aqueduct resulting in obstructive hydrocephalus. The symptoms, brainstem herniation, and hydrocephalus resolved after tie occlusion of the shunt.

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Source
http://dx.doi.org/10.1016/j.wneu.2019.03.231DOI Listing

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