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フルテキストURLA020038000102.pdf ( 1.1MB ) 公開日 2010-04-19
タイトルSubdural Hematoma after Shunt Operations
作成者Kamiryo, Toshifumi
Yamashita, Katsuhiro
Harada, Kunihiko
Uchimichi, Akihiko
Fujii, Yasuhiro
Yamashita, Tetsuo
Ito, Haruhide
作成者ヨミカミリョウ, トシフミ
ヤマシタ, カツヒロ
ハラダ, クニヒコ
ウチミチ, アキヒコ
フジイ, ヤスヒロ
ヤマシタ, テツオ
イトウ, ハルヒデ
作成者所属山口大学医学部
内容記述(抄録等)Among aseries of 388 shunt operations, subdual hematoma occurred in 8 cases (2.1%). It occurred in both children and adults, in 5 low- and 3 medium-pressure shunt systems, on the ipsilateral and contralateral sides to a ventriculo-peritoneal shunt in 3 and 4 casea, respectively, and 1 in a lumbo-peritoneal shunt. Preceding subdural effusion was noted in 7 cases. Symptoms,duration and character of the hematoma were similar to those of chronic subdural hematoma. Symptoms tended to be rather mild and were compensated by a shunt system. Furthermore, removal of the hematoma in three cases required additional procedures such as ligation of the shunt, replacement to a higher-pressure valve or a subdural-peritoneal shunt for reexpansion of the brain. One case of cranio-cerebral disproportion required the reduction cranioplasty for prevention of hematoma recurrence. Promting factors were thought to be low intracranial pressure resulted from the shunt system or the pumping valve, head and individual anatomical susceptibility. Subdural effusion after a shunt operation should be regarded as a warning sign, and precautions should be taken against occurrence of chronic subdural hematoma. To prevent this complication, addition of an anti-siphon device is recommended.
本文言語eng
著者キーワードSubdural hematoma
Subdural effusion
Shunt opration
Hydrocephalus
Intracranial pressure
主題医学
資料タイプtext
ファイル形式application/pdf
出版者Yamaguchi University Graduate School of Medicine
NII資料タイプ紀要論文
ISSN0513-1812
NCIDAA00594272
学内刊行物(紀要等)The bulletin of the Yamaguchi Medical School
掲載誌名The bulletin of the Yamaguchi Medical School
掲載誌名別表記山口医科大学紀要
38
1-2
開始ページ9
終了ページ15
発行日1991-06
著者版/出版社版出版社版
リポジトリIDA020038000102
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/A020038000102