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Low-pressure hydrocephalic state complicating hemispherectomy: a case report
Roy Thomas Daniel1, Gabriel Y F Lee, Stephen J Halcrow
1Department of Neurosurgery, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia 5000. roymercy@hotmail.com
Epilepsia
|May 25, 2002
Summary
Low-pressure hydrocephalic state (LPHS) can occur after brain surgery. This condition involves enlarged ventricles despite normal pressure, requiring shunt system management for improved neurological status.
Area of Science:
- Neurosurgery
- Neurology
- Hydrocephalus research
Background:
- Low-pressure hydrocephalic state (LPHS) is a rare condition associated with brain lesions.
- Intractable epilepsy may necessitate surgical interventions like hemispherectomy.
Observation:
- A patient developed LPHS after subtotal hemispherectomy for epilepsy.
- Cerebrospinal fluid (CSF) rhinorrhea was an initial post-operative complication.
Findings:
- LPHS diagnosis is indicated by worsening neurological status and ventriculomegaly with normal intraventricular pressure.
- Clinical presentation correlated with ventricular size, not pressure.
Implications:
- LPHS is a significant perioperative complication following extensive brain resections.
- Managing brain compliance is key to treating LPHS.
- Shunt systems can be effective in LPHS management.