A case of acute acquired obstructive hydrocephalus in a cat with suspected ischaemic cerebellar infarct

Raimondi, Francesca; Lourinho, Filipa; Scott, Harry; Shihab, Nadia

In humans, treatment of obstructive hydrocephalus as a complication of cerebellar infarct is aimed at reducing the increased pressure secondary to the accumulation cerebrospinal fluid. 18 Standard measures include hyperventilation, osmotic diuretics or decompressive surgery in the most severe cases, where coma and cardiorespiratory difficulties occur. 14, 15, 19, 20 Despite intensive medical management, mortality is estimated to be as high as 50-70%, 18 and surgical decompressive treatment is performed as an extreme attempt to stabilise these patients. 14, [19] [20] [21] Treatment to reduce the increased ICP in this case was performed only when the cat showed acute neurological deterioration, and it was not successful.