Romanian Neurosurgery (Jun 2017)

Post V-P shunt surgical site EDH an uncommon complication

  • Manish Garg,
  • Deepashu Sachdeva,
  • Ketan Patel,
  • Anita Jagetia,
  • A. K. Srivastava

Journal volume & issue
Vol. 31, no. 2

Abstract

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Ventriculoparitoneal shunt is well established modality of treatment for hydrocephalous. Complication of v-p shunt are also mentioned in literature like shunt infection shunt migration etc [8]. Here we are describing a rare complication of vp shunt which barely mentioned in literature. A 22 yr male admitted with complain of headache & vomiting patient was diagnosed to have tubercular meningities with hydrocephalous. Patient planned for ventriculoparietoneal shunt surgery and vp shunt was done. On 3rd post-surgery day patient develop weakness in Left side of body. Urgent ncct head done which showed EDH at surgical site. Immediate craniotomy and evacuation of hematoma was done patient improved and discharged. Thus we are discussing the importance of meticulous surgery for v-p shunt, post op ct scan and treatment.

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