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
1- Assistant Professor of Neurosurgery, Department of Neurological Surgery, Rasool Akram Complex, Iran University of Medical Sciences, Tehran, Iran, Assistant Professor of Neurosurgery, Department of Neurological Surgery, Rasool Akram Complex, Iran University of Medical Sciences, Tehran, Iran
2- Associate Professor of Neurosurgery, Department of Neurological Surgery, Rasool Akram Complex, Iran University of Medical Sciences, Tehran, Iran, Associate Professor of Neurosurgery, Department of Neurological Surgery, Rasool Akram Complex Iran University of Medical Sciences, Tehran, Iran
3- Resident of Neurosurgery, Department of Neurological Surgery, Rasool Akram Complex, Iran University of Medical Sciences, Tehran, Iran
4- Neurosurgeon, Rasool Akram Complex, Iran University of Medical Sciences, Tehran, Iran, Neurosurgeon, Rasool Akram Complex, Iran University of Medical Sciences, Tehran, Iran
Abstract:   (2497 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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