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Case Reports
. 2023 Jul 21;2023(7):rjad415.
doi: 10.1093/jscr/rjad415. eCollection 2023 Jul.

Unexpected shunt-dependent hydrocephalus after unruptured aneurysm surgery-a case report

Myungsoo Kim  1 , Byoung-Joon Kim  1 , Sang-Youl Yoon  1 , Youngseok Kwak  1
Affiliations
Case Reports

Unexpected shunt-dependent hydrocephalus after unruptured aneurysm surgery-a case report

Myungsoo Kim et al. J Surg Case Rep. .

Abstract

A chronic hydrocephalus after unruptured aneurysm surgery is an extremely rare condition. Its etiology and pathophysiology are also unclear. We report a case of chronic hydrocephalus in a patient who underwent permanent shunt placement after unruptured aneurysm clipping surgery. A 65-year-old man developed chronic hydrocephalus requiring shunt placement after clipping surgery of left anterior cerebral artery aneurysm and right middle cerebral artery aneurysm. This case shows that chronic hydrocephalus is a possible complication of unruptured aneurysm surgery, which can be resolved with an appropriate shunt operation.

Keywords: Hydrocephalus; Unruptured aneurysm; Ventriculoperitoneal shunt.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Figure 1
Figure 1
(A) Postoperative CT scan showing no subarachnoid or intraventricular hemorrhages. (B) Bilateral subdural fluid collection on postoperative day 13 CT scan. (C) Increased ventricle size by day 26. The patients developed symptoms of hydrocephalus. (D) A ventriculoperitoneal shunt was placed on day 47. Ventricle size decreased and clinical signs of hydrocephalus improved.
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