Volume 1, Issue 3 (12-2015)                   Iran J Neurosurg 2015, 1(3): 30-32 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Etemadrezaie H, Zabihian S, Baharvahdat H, Ganjeifar B. Acute Epidural Hematoma after Ventriculoperitoneal Shunt Insertion: a Case Report. Iran J Neurosurg 2015; 1 (3) :30-32
URL: http://irjns.org/article-1-22-en.html
1- MD, Assistant Professor of Neurosurgery, Department of Neurosurgery, Mashhad University of Medical Sciences (MUMS), Mashhad, Iran
Abstract:   (6189 Views)

Background & Importance: Acute epidural hematoma is a very rare complication of ventriculoperitoneal shunt insertion. The insertion of a ventriculoperitoneal shunt can cause sudden decompression of the brain, subsequent to which epidural hematoma occurs due to CSF drainage. To our knowledge, there are only a few cases of acute epidural hematoma in the literature which required acute evacuation.

Case Presentation: In this report, we present a case of epidural hematoma close to ventriculoperitoneral shunt insertion site in a 30-year-old man after failure of endoscopic surgery for opening of the wall of a suprasellar arachnoid cyst. Secondary to communication between cyst and ventricles and clinical symptoms and sings, the patient underwent the shunt insertion. The patient became comatose two hours following the insertion of the shunt, developing a voluminous right temporo-parietal epidural hematoma that had to be evacuated immediately. Here, we intend to discuss both the pathophysiology and treatment.

Conclusion: Development of epidural hematoma after ventriculoperitoneal shunt surgery is a devastating complication. Dehisensce formation between the skull and dura matter, which may be facilitated by lax adhesion between the two, is a common underlying pathology. We recommend a close post-surgical observation for immediate diagnosis and reoperation of this event.

Full Text [PDF 326 kb]   (2653 Downloads) |   |   Full Text (HTML)  (1373 Views)  
Type of Study: Case report | Subject: Gamma Knife Radiosurgery

References
1. Erdogan B, Sen O, Bal N, Cekinmez M, Altinors N. Rapidly calcifying and ossifying epidural hematoma. Pediatric neurosurgery. 2003;39(4):208-211. [DOI:10.1159/000072473] [PMID]
2. Kalia KK, Swift DM, Panz D. Multiple epidural hematomas following ventriculoperitoneal shunt. Pediatric neurosurgery. 1993;19(2):78-80. [DOI:10.1159/000120704] [PMID]
3. Mathuriya SN, Kak VK, Banerjee AK. Ossified epidural hematomas: Report of two cases. Clinical neurology and neurosurgery. 1989; 91(3):269-272 . [DOI:10.1016/0303-8467(89)90124-8]
4. Sena JC, Grazian N. Hematoma epidural como complicação de uma drenagem ventricular externa. Arq Bras Neurocirurg 1992; 11(3):153-158.
5. Tjan TG, Aarts NJM. Bifrontal hematoma after shunt operation and posterior fossa exploration. Report of a case with survival. Neuroradiology.1980; 19(1):51-53. [PMID]
6. Seyithanog lu H, Karag Oz Guzey F, Emel E, Ozkan N, Aycan A. Chronic Ossified Epidural Hematoma After Ventriculoperitoneal Shunt Insertion: A Case Report. Turkish Neurosurgery. 2010; 20(4) 519-523. [PMID]
7. Jain SK, Sundar IV, Sharma V, Arota R , Prasanna KL.Chronic ossified extradural hematoma on the opposite side of the ventriculoperitoneal shunt procedure: A rare case report. Saudi Journal for Health Sciences. 2012; 1(3):159-161. [DOI:10.4103/2278-0521.106087]
8. Schorstein J. Fatal intracranial venous haematoma following ventricular drainage. Journal of neurology and psychiatry. 1942; 5(3-4):142. [DOI:10.1136/jnnp.5.3-4.142] [PMID] [PMCID]
9. Sengputa RP, Hankinson J. Extradural hemorrahge: a hazard of ventricular drainage. Journal of Neurology, Neurosurgery & Psychiatry.1972; 35(3):297-303. [DOI:10.1136/jnnp.35.3.297]
10. Chauvet D, Sichez JP, Boch AL.Early epidural hematoma after CSF shunt for obstructive hydrocephalus. Neuro-Chirurgie. 2009; 55(3):350-3. [DOI:10.1016/j.neuchi.2009.03.001] [PMID]
11. Pereira C U, De Souza Porto M W, De Holanda R R, De Andrade W T.Epidural Hematoma After Ventriculoperitoneal Shunt Surgery.Report of two cases. Arquivos de neuro-psiquiatria. (3B):629-632,1998 [DOI:10.1590/S0004-282X1998000400017] [PMID]
12. Harkness W.Contralateral extradural haematoma after ventriculoperitoneal shunt insertion. Journal of the Royal Society of Medicine. 1999; 92(10):547. [DOI:10.1177/014107689909201032] [PMID] [PMCID]

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and Permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Iranian Journal of Neurosurgery

Designed & Developed by: Yektaweb