Chronic subdural hematoma as a complication of endoscopic third ventriculostomy

2004 ◽  
Vol 62 (1) ◽  
pp. 64-68 ◽  
Author(s):  
Bong-Soo Kim ◽  
George I Jallo ◽  
Karl Kothbauer ◽  
I.Rick Abbott
2020 ◽  
Vol 9 (03) ◽  
pp. 147-150
Author(s):  
Ibrahim Assoumane ◽  
M. Al-Zekri ◽  
A. Khelifa ◽  
N. Touati ◽  
N. Lagha ◽  
...  

Abstract Introduction Subdural hematoma can occur as a complication of a ventriculoperitoneal shunt (VPS), and it should be considered in any patient who present a shunt dysfunction or who does not show the expected recovery after revision of a shunt. Computed tomography (CT) scan is a quick and easy way of detecting subdural hematoma. Materials and Methods We conduct a retrospective study of 17 patients. All of them are admitted for a subdural hematoma on a VPS. The diagnosis in 13 cases is made by CT scan; three cases by brain MRI. Results We operated 16 patients and the evacuation of the hematoma with revision of the shunt was performed; we used an adjustable shunt for three patients and endoscopic third ventriculostomy in one case. The operative outcomes were favorable in 12 patients; there were 4 recurrences, 2 of which required evacuation of the hematoma through a bone flap. Conclusion The subdural hematoma is a complication observed during the surgical treatment of the hydrocephalus and can be a serious issue. We suggest that a brain CT scan should be routinely performed in symptomatic patients with VPS.


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