Transient obstructive hydrocephalus due to intraventricular hemorrhage: A case report and review of literature

Eriks A. Lusis, Ananth K. Vellimana, Wilson Z. Ray, Michael R. Chicoine, Sarah C. Jost

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)192-195
Number of pages4
JournalJournal of Clinical Neurology (Korea)
Volume9
Issue number3
DOIs
StatePublished - Jul 2013

Keywords

  • Arteriovenous malformation
  • Intraventricular hemorrhage
  • Transient hydrocephalus
  • Zz acute hydrocephalus

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