Transjugular intrahepatic portosystemic shunt (TIPS) is an attractive therapeutic option in cirrhotic patients with recurrent variceal bleeding refractory to medical and endoscopic therapy. There is little known about the use of TIPS in patients with left ventricular assist devices (LVAD). We describe a patient with a durable continuous-flow LVAD and concurrent decompensated cardiac cirrhosis w...

purpose: to report a case of spinal cord tumor with visual symptoms and papilledema due to increased intracranial pressure. patient and findings: a 24-year-old woman was referred because of recent blurred vision in both eyes. visual acuity was 20/25 and 20/20 in the right and left eyes, respectively. fundoscopy revealed bilateral papilledema. other ophthalmic examinations were normal. visual fi...

Congenital (spontaneous) intrahepatic portosystemic shunt is rare in the English literature. Most cases of portosystemic shunt occur after trauma, surgery, liver biopsy or as a result of chronic portal hypertension. Chronic shunting may result in encephalopathy, bleeding or hyperinsulinism. We report a case of an asymptomatic adult female with a presumed congenital intrahepatic portosystemic sh...

OBJECTIVE Although a transjugular intrahepatic portosystemic shunt (TIPS) is commonly placed to manage isolated gastric varices, balloon-occluded retrograde transvenous obliteration (BRTO) has also been used. We compare the long-term outcomes from these procedures based on our institutional experience. MATERIALS AND METHODS We conducted a retrospective review of patients with isolated gastric...

Ventriculoperitoneal (VP) shunt has become a popular operation to achieve cerebrospinal fluid (CSF) diversion, but is associated with many complications. Postoperative delayed intracerebral hemorrhage is a kind of rare but severe event, which has not thus far been reported in retrospective case analyses. Here we present two cases of delayed intracerebral hemorrhage, along the path of the ventri...

OBJECTIVE The objective of this study is to review our experience of shunt surgery by investigating 40 years of development in terms of rates of revision and infection, shunt survival and risk factors. DESIGN AND PARTICIPANTS Medical records and operative reports were reviewed retrospectively for all patients who underwent primary shunt surgery at our department in the years 2010 to 2012. All...

Cerebrospinal fluid (CSF) leak or shunt overdrainage is a well-known cause of orthostatic headaches and low CSF pressures. We report two cases of orthostatic headache with pneumocephalus on brain imaging. The orthostatic headache developed after drainage of spinal operation site and epidural block. Brain MRI revealed characteristic findings of CSF hypovolemia including pachymeningeal enhancemen...

OBJECTIVE: A prospective computed tomography(CT) study to detect , determine the cause, type and severity of hydrocephalus in a study group. To evaluate shunt related complications in hydrocephalus and compare results with other studies. RESULTS : 80 consecutive patients diagnosed with hydrocephalus on CT were studied over a 2 year period . TB meningitis(32%)followed by tumors(25%) intracranial...

The syndrome of left ventricular dysfunction in patients without obstructive coronary artery disease following central nervous system injury is termed neurogenic stunned myocardium (NSM). It has been described most commonly in association with aneurysmal subarachnoid hemorrhage. Nonspecific electrocardiogram (ECG) abnormalities, elevated troponin I levels, and reversible regional-wall motion ab...

Arachnoid cysts are defined as an accumulation of fluid within the arachnoid membrane. Feline intracranial arachnoid cysts are seldom reported, with only three cases in the veterinary literature. A 1-year-old male neutered European cat with a 24 h history of seizures was presented to the small animal neurology department at Vetagro Sup, Lyon. Magnetic resonance imaging (MRI) revealed a large in...