TY - JOUR
T1 - Transient obstructive hydrocephalus due to intraventricular hemorrhage
T2 - A case report and review of literature
AU - Lusis, Eriks A.
AU - Vellimana, Ananth K.
AU - Ray, Wilson Z.
AU - Chicoine, Michael R.
AU - Jost, Sarah C.
PY - 2013/7
Y1 - 2013/7
N2 - Background Acute transient obstructive hydrocephalus is rare in adults. We describe a patient with intraventricular hemorrhage (IVH) who experienced the delayed development of acute transient hydrocephalus. Case Report A 33-year-old man with a previously diagnosed Spetzler-Martin Grade 5 arteriovenous malformation presented with severe headache, which was found to be due to IVH. Forty hours after presentation he developed significant obstructive hydrocephalus due to the thrombus migrating to the cerebral aqueduct, and a ventriculostomy placement was planned. However, shortly thereafter his headache began to improve spontaneously. Within 4 hours after onset the headache had completely resolved, and an interval head CT scan revealed resolution of hydro-cephalus. Conclusion In patients with IVH, acute obstructive hydrocephalus can develop at any time after the ictus. Though a delayed presentation of acute but transient obstructive hydrocephalus is unusual, it is important to be aware of this scenario and ensure that deterioration secondary to thrombus migration and subsequent obstructive hydrocephalus do not occur.
AB - Background Acute transient obstructive hydrocephalus is rare in adults. We describe a patient with intraventricular hemorrhage (IVH) who experienced the delayed development of acute transient hydrocephalus. Case Report A 33-year-old man with a previously diagnosed Spetzler-Martin Grade 5 arteriovenous malformation presented with severe headache, which was found to be due to IVH. Forty hours after presentation he developed significant obstructive hydrocephalus due to the thrombus migrating to the cerebral aqueduct, and a ventriculostomy placement was planned. However, shortly thereafter his headache began to improve spontaneously. Within 4 hours after onset the headache had completely resolved, and an interval head CT scan revealed resolution of hydro-cephalus. Conclusion In patients with IVH, acute obstructive hydrocephalus can develop at any time after the ictus. Though a delayed presentation of acute but transient obstructive hydrocephalus is unusual, it is important to be aware of this scenario and ensure that deterioration secondary to thrombus migration and subsequent obstructive hydrocephalus do not occur.
KW - Arteriovenous malformation
KW - Intraventricular hemorrhage
KW - Transient hydrocephalus
KW - Zz acute hydrocephalus
UR - http://www.scopus.com/inward/record.url?scp=84880079832&partnerID=8YFLogxK
U2 - 10.3988/jcn.2013.9.3.192
DO - 10.3988/jcn.2013.9.3.192
M3 - Article
C2 - 23894243
AN - SCOPUS:84880079832
VL - 9
SP - 192
EP - 195
JO - Journal of Clinical Neurology (Korea)
JF - Journal of Clinical Neurology (Korea)
SN - 1738-6586
IS - 3
ER -