@article{oai:kanazawa-u.repo.nii.ac.jp:00027066,
 author = {Misaki, Kouichi and Uchiyama, Naoyuki and Hayashi, Yutaka and Hamada, Jun-ichiro},
 issue = {1},
 journal = {Neurologia Medico-Chirurgica},
 month = {Jan},
 note = {Four patients presented with intracerebral hemorrhage secondary to ventriculoperitoneal (VP) shunt insertion. VP shunt insertion was performed for idiopathic normal-pressure hydrocephalus (Case 1), hydrocephalus after cerebellar hemorrhage (Case 2), and subarachnoid hemorrhage followed by meningitis (Cases 3 and 4). Cerebral hemorrhage was confirmed 4 hours (Case 1), 2 days (Case 2), 7 days (Case 3), and 13 days (Case 4) after the operation. Cases 1 and 2 required intraoperative hemostasis for bleeding from the cortical vein. The 7 previous and our 4 patients were divided according to early (within 2 days after shunt placement, n = 6, Group 1) and delayed (5-13 days post-shunting, n = 5, Group 2) hemorrhage. Bleeding was attributable to venous occlusion due to intraoperative manipulation in Group 1, and to the vulnerability of brain tissue induced by a primary brain disease in Group 2., 金沢大学医薬保健研究域医学系, 金沢大学附属病院脳神経外科},
 pages = {76--79},
 title = {Intracerebral hemorrhage secondary to ventriculoperitoneal shunt insertion - Four case reports},
 volume = {50},
 year = {2010}
}