Remote Acute Extradural Hematoma Formation after Ventriculoperitoneal Shunt - A Rare Occurrence
DOI:
https://doi.org/10.21276/tw1k6806Keywords:
Extradural hematoma, Ventriculoperitoneal shunt, HydrocephalusAbstract
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.
Downloads
References
Faulhauer K, Schmite P: Over drainage phenomenon in the shunt treated hydrocephalus. Acta Neurochir 1978; 45: 89-101.
Hamlat A, Heckley A, Doumbouya N, Signeuret E and Brassier G: Epidural hematoma as a complication of endoscopic biopsy and shunt placement in a patient harboring a third ventricular tumor. Pediatr Neurosurg 2004; 40: 245-258.
Kalia KK, Swift DM, Pang D: Multiple epidural hematomas following ventriculoperitoneal shunt. Pediatr Neurosurg 1993; 19: 78-80.
Yue CP, Marm KS: Fluid chronic epidural haematoma: A rare complication of ventriculoperitoneal shunt. J Neurol Neurosurg Psych 1984; 48: 953-5.
Fujimoto Y, Aguiar PH, Carneiro JD, Martins RS, Ciquini O Jr, de Andrade AF et al: Spontaneous epidural hematoma following a shunt in an infant with congenital Factor X deficiency: Case report and literature review. Neurosurg Rev 1999; 22: 226-9.
Ahmad FU, Agrawal D, Singh M. Acute epidural hematoma following ventriculoperitoneal shunt in an adult. Pan Arab Journal of Neurosurg 2008; 12:118-120.
Weiss RM: Massive epidural hematoma following ventricular decompression: Report of a case with survival. J Neurosurg 1964; 221: 235-6.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 International Archives of BioMedical and Clinical Research
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors are required to sign and submit the completed “Copyright transfer Form” upon acceptance of publication of the paper. This is determined by a publishing agreement between the author and International Archives of Biomedical and Clinical Research. These rights might include the right to publish, communicate and distribute online. Author(s) retain the copyright of their work. International Archives of Biomedical and Clinical Research supports the need for authors to share, disseminate and maximize the impact of their research.