External Ventricular Drain Migration Causing Parinaud’s Syndrome: A Case Report
| Autor: | Ira M. Goldstein, Christine Mau |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Subarachnoid hemorrhage Palsy business.industry General Engineering Parinaud's syndrome Neurosurgery Neurological exam Discharge home external ventricular drain 030204 cardiovascular system & hematology medicine.disease neurosurgical procedures Surgery 03 medical and health sciences 0302 clinical medicine dorsal midbrain syndrome medicine Acute hydrocephalus parinaud's syndrome business 030217 neurology & neurosurgery Intracranial pressure External ventricular drain vertical gaze palsy |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Background External ventricular drains (EVD) are used for emergent management of acute hydrocephalus and for monitoring of intracranial pressure. Common complications of EVDs include malposition, infection, and hemorrhage. Here, the authors present a novel case of EVD migration causing Parinaud's syndrome. Case description A thirty-three-year-old female presented with witnessed seizure secondary to a left supraclinoid internal carotid artery aneurysm and trace subarachnoid hemorrhage. Two days after radiographic confirmation of an accurately placed EVD, she was found to have vertical gaze palsy (Parinaud's syndrome). Repeat CT head demonstrated inward migration of the EVD with left midbrain compression. After readjustment of the EVD, her Parinaud's syndrome improved each day until discharge home. Conclusions This is a novel clinical presentation of an EVD causing Parinaud's syndrome. There is only one other case report in the literature of this phenomenon. Although a practical solution to prevent this incident from occurring is unclear, vigilance for changes in neurological exam allowed for quick assessment and revision of the EVD and subsequent recovery in this patient. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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