Usage of neuronavigation system to treat a case of traumatic acute subdural hematoma after two-side ventriculoperitoneal shunt

作     者：Kun Wang Xueying Xu Huanjiang Niu Xiujun Cai Yirong Wang 

作者机构：Department of NeurosurgeryXiasha CampusSir Run Run Shaw HospitalZhejiang University School of MedicineHangzhou 310020China Department of NeurosurgerySir Run Run Shaw HospitalZhejiang University School of MedicineHangzhou 310016China Department of General SurgerySir Run Run Shaw HospitalZhejiang University School of MedicineHangzhou 310016China 

出 版 物：《Laparoscopic, Endoscopic and Robotic Surgery》 (腔镜、内镜与机器人外科（英文）)

年 卷 期：2019年第2卷第1期

页      面：18-20页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

基　　金：This work was supported by the Program for Health and Family Planning Commission of Hangzhou Municipality,China(2017A73) Medicine and Health Science and Technology Projects of Zhejiang Province,China(2018270408) National Natural Science Foundation of China(81402044) Natural Science Foundation of Zhejiang Province of China(LY14H160017,LY14H160025) 

主　　题：Neuronavigation Acute subdural hematoma Hydrocephalus Ventriculoperitoneal shunt 

摘      要：Traumatic acute subdural hematoma is one of the most lethal causes of head injuries,which leads to high *** combined diseases always make it more intractable for the *** present a case of a 68-year-old female patient with traumatic acute subdural hematoma combined with hydrocephalus after ventriculoperitoneal shunt assisted by the neuronavigation system in January 12,*** was undergone ventriculoperitoneal shunt 6 years and 5 months ago on two sides respectively because of hydrocephalus,with the ventriculoperitoneal shunt device on the right side out of *** initial neurological examination showed a Glasgow Coma Scale of E2V1M5 with no papillary defect.A CT scan of the head revealed a left homogeneously hyperdense and subdural hematoma,with compression of the lateral ventricle(2.6 cm thick)and a 0.5 cm midline *** protect the ventriculoperitoneal shunt device,we used neuronavigation system to precisely mark the relative location of the device and“invisiblesubdural hematoma,thus to design a perfect incision ***,evacuation of the subdural hematoma was performed via craniotomy without damaging the ventriculoperitoneal shunt *** CT of the head showed totally removing of the subdural *** patient recovered three months *** the assistant of neuronavigation system,it is much easier for the preoperative planning and to reduce the surgical *** case gives a clue that more approaches can be considered when encountering acute head trauma with the complicated combined diseases.