Remote Acute Extradural Hematoma Formation after Ventriculoperitoneal Shunt - A Rare Occurrence

  • Yawar Shoaib Ali Department of Neurosurgery, PGIMER and Dr. RML Hospital, New Delhi, India
  • Amit Dagar Department of Neurosurgery, PGIMER and Dr. RML Hospital, New Delhi, India
  • Abraq Asma Reyaz Department of Anesthesiology, Govt. Medical College, Srinagar, Jammu& Kashmir, India
  • L. N. Gupta Department of Neurosurgery, PGIMER and Dr. RML Hospital, New Delhi, India.
Keywords: Extradural hematoma; Ventriculoperitoneal shunt; Hydrocephalus.

Abstract

Formation of acute epidural hematoma after Ventriculoperitoneal shunt insertion is rare in adults, more so at a site remote from the site of shunt insertion. We are presenting such a rare occurrence and discussing possible factors involved in this complication. A 35-year-old male was diagnosed with a third ventricular colloid cyst with hydrocephalus. A Ventriculoperitoneal medium pressure shunt was placed through right Keen point burr hole and the patient developed a right frontal extradural hematoma on the 4th post-operative day which was subsequently evacuated by craniotomy and the patient recovered fully thereafter. Acute extradural hematoma is a potentially life threatening complication. High index of suspicion, precautions during shunt insertion and early detection can prevent mortality and severe morbidity in these cases.

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References

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Published
2016-03-20
How to Cite
1.
Ali Y, Dagar A, Reyaz A, Gupta L. Remote Acute Extradural Hematoma Formation after Ventriculoperitoneal Shunt - A Rare Occurrence. IABCR [Internet]. 20Mar.2016 [cited 24Jul.2019];2(1):29-1. Available from: https://iabcr.org/index.php/iabcr/article/view/227