Volume 2, Issue 3 (12-2016)                   Iran J Neurosurg 2016, 2(3): 22-25 | Back to browse issues page


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Ghalaenovi H, Azar M, Rahatlou H, Astaraki S. Chronic Subdural Hematoma after Lumboperitoneal Shunt Replacement: A Case Report From Iran. Iran J Neurosurg. 2016; 2 (3) :22-25
URL: http://irjns.org/article-1-61-en.html
Abstract:   (2178 Views)

Background and Importance: Lumboperitoneal shunts are commonly used to treat several conditions, but their use can result in significant complications. We discuss a complication of these shunts that has not been reported in the literature to date.
Case Presentation: An obese, 41-year-old woman admitted to Rasool Akram Hospital complaining of a severe headache and blurred vision. The physical examination indicated that she had papilledema, and a lumbar puncture demonstrated cerebrospinal fluid opening pressure of 33 cm of H2O. Pseudotumor Cerebri was diagnosed, and the patient underwent surgery to insert a lumboperitoneal (LP) shunt. She suffered from severe headaches and nausea during the post-operative period. The post-operative syndrome was misdiagnosed as shunt-induced cerebellar tonsillar ptosis; however, further evaluation indicated that intracranial chronic subdural hematoma, a very rare complication subsequent to lumboperitoneal shunting, was the cause of the post-operative syndrome. Subdural hematoma was evacuated and her symptoms disappeared thereafter. 
Conclusion: Persistent symptoms, such as headache, nausea, and vomiting, after placement of a lumboperitoneal shunt should be taken serious, and imaging, such as a CT of the brain, should be done to rule out subdural hematoma.

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Type of Study: Case report | Subject: Gamma Knife Radiosurgery
* Corresponding Author Address: * Corresponding Author Address: Rasool-akram Complex, Iran University of Medical Sciences, Tehran, Iran. Tel: +989122301598, Fax: 02166509120, Email:dr.h.rahatlou@gmail.com

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