Open AccessCerebellar Hemorrhage After Multiple Manual Pumping Tests of a Ventriculoperitoneal Shunt: A Case Report
Author(s) -
Huang ChihYuan,
Hung YuChang,
Tai ShihHuang,
Lee EJian
Publication year - 2009
Publication title -
the kaohsiung journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.439
H-Index - 36
eISSN - 2410-8650
pISSN - 1607-551X
DOI - 10.1016/s1607-551x(09)70037-3
Subject(s) - medicine , shunt (medical) , complication , surgery , hydrocephalus , cerebrospinal fluid , derivation , anesthesia , artery
A manual pumping test is commonly used to verify the patency of a ventriculoperitoneal (V‐P) shunt. Complications occurring after manual pumping of the reservoir are rare. Here, we report a 73‐year‐old male hydrocephalic patient who had undergone uneventful V‐P shunt surgery 9 years ago. He developed a cerebellar hemorrhage after repetitive pressing of the shunt reservoir. The clinical manifestations, characteristic radiologic images, treatment outcome, and possible mechanisms of this late complication are presented. The risk of massive cerebrospinal fluid over‐drainage after repetitive manual pumping of the V‐P shunt reservoir, which can contribute to the formation of a cerebellar hemorrhage, warrants special attention and hydrocephalic patients and their caregivers should be informed and educated about this potential complication.