:: Volume 2, Number 3 (12-2016) ::
IrJNS 2016, 2(3): 22-25 Back to browse issues page
Chronic Subdural Hematoma after Lumboperitoneal Shunt Replacement: A Case Report From Iran
Hossein Ghalaenovi, Maziar Azar, Hessam Rahatlou *1, Shahrzad Astaraki
1- Resident of Neurosurgery
Abstract:   (870 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.

Keywords: Benign Intracranial Hypertention, Chronic Subdural Hematoma, Lumboperitoneal Shunt
Full Text [PDF 1546 kb]   (422 Downloads)    
Type of Study: Case report | Subject: Special
* 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

DOI: 10.18869/acadpub.irjns.2.3.22

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Volume 2, Number 3 (12-2016) Back to browse issues page