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Traumatic intratumoral hemorrhage secondary to a ventriculoperitoneal shunt
F Umansky1, Y Kluger, J M Gomori
1Department of Neurosurgery, Hadassah University Hospital, Jerusalem, Israel.
Insights
A rare pediatric brain tumor case highlights a fatal complication. A ventriculoperitoneal shunt procedure for obstructive hydrocephalus in a child with oligodendroglioma led to intratumoral hemorrhage.
Area of Science:
- Pediatric neurosurgery
- Neuro-oncology
- Neurosurgical complications
Background:
- Obstructive hydrocephalus in pediatric patients can be caused by primary intraventricular tumors.
- Oligodendroglioma is a rare primary brain tumor in children.
Observation:
- A 14-month-old boy presented with obstructive hydrocephalus due to an intraventricular oligodendroglioma.
- The patient underwent a bilateral ventriculoperitoneal shunt placement.
Findings:
- A massive intratumoral hemorrhage occurred during the shunting procedure, initiated by mild trauma from catheter insertion.
- This complication was fatal for the patient.
Implications:
- This case represents the first reported instance of intratumoral hemorrhage during shunting for tumoral obstructive hydrocephalus.
- Highlights the potential risks associated with neurosurgical interventions in pediatric brain tumor patients.
Abstract:
We report a case of a 14-month-old boy with a primary intraventricular oligodendroglioma and obstructive hydrocephalus. The child underwent a bilateral ventriculoperitoneal shunt and developed a massive and fatal intratumoral hemorrhage initiated by a mild trauma when introducing the left ventricular catheter. To our knowledge, this is the first report in the literature of such a complication during a shunting procedure for obstructive hydrocephalus of tumoral origin.