Kim Myungsoo, Kim Byoung-Joon, Yoon Sang-Youl, Kwak Youngseok
Department of Neurosurgery, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
J Surg Case Rep. 2023 Jul 21;2023(7):rjad415. doi: 10.1093/jscr/rjad415. eCollection 2023 Jul.
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.
未破裂动脉瘤手术后发生慢性脑积水是一种极其罕见的情况。其病因和病理生理学也尚不清楚。我们报告一例未破裂动脉瘤夹闭手术后接受永久性分流管置入术的慢性脑积水患者。一名65岁男性在左大脑前动脉动脉瘤和右大脑中动脉动脉瘤夹闭手术后发生慢性脑积水，需要进行分流管置入术。该病例表明，慢性脑积水是未破裂动脉瘤手术可能出现的并发症，通过适当的分流手术可以解决。
