A Rare Case Report of Simultaneous Occurrence of Chronic Subdural Hematoma and Acute Extradural Hematoma in a Patient after Multiple Ventriculoperitoneal Shunt Surgeries.

一例罕见的同时发生慢性硬膜下血肿和急性硬膜外血肿的病例报告。

• 发表时间: 2023 Sep
• 来源期刊: Asian J Neurosurg
• DOI: 10.1055/s-0043-1773765
• PMID: 38152527
• 文章类型: Case Reports
• 作者列表: Yadav V,Prasad RS

关键词: extradural; hematoma; hydrocephalus; subdural; ventriculoperitoneal shunt

Abstract

Ventriculoperitoneal (VP) shunt surgeries are common neurosurgical procedure for hydrocephalus. Subdural hematoma (SDH) and extradural hematoma (EDH) are rare but potentially life-threatening complications following VP shunt surgeries. We are describing probably the first case in which a 12-year-old boy presented to the emergency room in altered sensorium and gradual onset quadriparesis following multiple shunt revision procedures done in an outside hospital. Computed tomography head showed chronic right-sided frontotemporoparietal chronic SDH and parietal dominant EDH simultaneously with multiple shunt systems in ventricles. Patient was taken for surgery in emergency and emergent evacuation of hematoma was done. Patient improved in the postoperative period. In this case report we will make an attempt to describe a rare complication of VP shunt surgery and possible mechanisms responsible for it.

摘要

脑室腹膜（VP）分流手术是脑积水的常见神经外科手术。VP分流手术后，硬膜下血肿（SDH）和硬膜外血肿（EDH）很少见，但可能危及生命。我们正在描述的可能是第一例，在医院外进行多次分流翻修手术后，一名12岁男孩以感觉神经改变和逐渐发作的四肢轻瘫出现在急诊室。计算机断层扫描头部显示慢性右侧额颞叶顶叶慢性SDH和顶叶显性EDH，同时存在多个分流系统。患者在紧急情况下接受手术，并紧急清除血肿。患者在术后改善。在此病例报告中，我们将尝试描述VP分流手术的罕见并发症及其可能的机制。