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LATE ACUTE SPONTANEOUS GIANT EPIDURAL HEMATOMA AFTER VENTRICULOPERITONEAL SHUNT SURGERY

Year 2021, Volume: 12 Issue: 2, 45 - 47, 11.06.2021
https://doi.org/10.33706/jemcr.836595

Abstract

Abstract
Introduction: Subdural hematoma is the most common type of hemorrhage as a shunt complication following ventriculoperitoneal shunt procedures. This hemorrhage is caused by rupture of the bridging veins between the dura mater and brain due to a suddenly developing decrease in intracranial pressure. On the other hand, the mechanism of late epidural hemorrhage, a complication of ventriculoperitoneal shunt, could not been clarified very clearly.
Case Presentation: A 7-year old female patient had been operated for meningomyelocele after birth. One month later, ventriculoperitoneal shunt had been placed. She presented to the emergency department with nausea, vomiting, blurred consciousness and loss of strength (2/5) in the left upper extremity 4 years after the revision. She had a Glasgow Coma Scale score of 10. Brain computed tomography revealed a giant epidural hematoma in the right hemisphere.
Conclusion: Brain computed tomography should be obtained in the postoperative period and anti-siphon device should be used when placing ventriculoperitoneal shunt. In addition, we argue that use of moderate-high pressure shunt is not definitely effective in preventing development of epidural hemorrhage.
Keywords: Hydrocephaly – Epidural hematoma – VP shunt complication

References

  • Payr, E. Drainage der Hirnventrikel mittels frei transplantirter Blutgefasse; Bemerkungen über Hydrocephalus. Arch. Klin. Chir. 1908, 87: 801-885.
  • Rıckham, P. P, and Roberts, J. R. Treatment of Hydrocephalus. Brit. Med. J., 1960, 1:1887
  • Erdogan B, Sen O, Bal N, Cekinmez M, Altinors N: Rapidly calcifying and ossifying epidural hematoma. Pediatr Neurosurg 39:208-211, 2003. DOI: 10.1159/000072473
  • Nagane M, Oyama H, Shibui S, Nomura K, Nakanishi Y, Kamiya M: Ossified and calcified epidural hematoma incidentally found 40 years after head injury: Case report. Surg Neurol 42:65-69, 1994. DOI: 10.1016/0090-3019(94)90252-6
  • Luys, G. (1901). Les blessures des sinüs de la düre-mere. Presse Medicale, 9, 278-281.
  • Iwakuma T,Brunngraber CV: Chronic extradural hematomas: a study of 21 cases. J Neurosurg 38:488-493, 1973. DOI: 10.3171/jns.1973.38.4.0488
  • Choux M, Grisoli F, Peragut JC: Extradural Hematomas in Children. 104 cases: 337-347, 1975. DOI: 10.1159/000119585
  • Seyithanoglu H, Guzey Karagoz F, Emel E, Ozkan N, Aycan A: Chronic Ossified Epidural Hematoma After Ventriculoperitoneal Shunt Insertion: A Case Report. Turkish Neurosurgery 2010, Vol:20, No:4, 519-523. DOI: 10.5137/1019-5149.JTN.2231-09.1
Year 2021, Volume: 12 Issue: 2, 45 - 47, 11.06.2021
https://doi.org/10.33706/jemcr.836595

Abstract

References

  • Payr, E. Drainage der Hirnventrikel mittels frei transplantirter Blutgefasse; Bemerkungen über Hydrocephalus. Arch. Klin. Chir. 1908, 87: 801-885.
  • Rıckham, P. P, and Roberts, J. R. Treatment of Hydrocephalus. Brit. Med. J., 1960, 1:1887
  • Erdogan B, Sen O, Bal N, Cekinmez M, Altinors N: Rapidly calcifying and ossifying epidural hematoma. Pediatr Neurosurg 39:208-211, 2003. DOI: 10.1159/000072473
  • Nagane M, Oyama H, Shibui S, Nomura K, Nakanishi Y, Kamiya M: Ossified and calcified epidural hematoma incidentally found 40 years after head injury: Case report. Surg Neurol 42:65-69, 1994. DOI: 10.1016/0090-3019(94)90252-6
  • Luys, G. (1901). Les blessures des sinüs de la düre-mere. Presse Medicale, 9, 278-281.
  • Iwakuma T,Brunngraber CV: Chronic extradural hematomas: a study of 21 cases. J Neurosurg 38:488-493, 1973. DOI: 10.3171/jns.1973.38.4.0488
  • Choux M, Grisoli F, Peragut JC: Extradural Hematomas in Children. 104 cases: 337-347, 1975. DOI: 10.1159/000119585
  • Seyithanoglu H, Guzey Karagoz F, Emel E, Ozkan N, Aycan A: Chronic Ossified Epidural Hematoma After Ventriculoperitoneal Shunt Insertion: A Case Report. Turkish Neurosurgery 2010, Vol:20, No:4, 519-523. DOI: 10.5137/1019-5149.JTN.2231-09.1
There are 8 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Report
Authors

Engin Yücel 0000-0001-8910-5359

Nilifer Taş 0000-0002-5236-4899

Publication Date June 11, 2021
Submission Date December 6, 2020
Published in Issue Year 2021 Volume: 12 Issue: 2

Cite

APA Yücel, E., & Taş, N. (2021). LATE ACUTE SPONTANEOUS GIANT EPIDURAL HEMATOMA AFTER VENTRICULOPERITONEAL SHUNT SURGERY. Journal of Emergency Medicine Case Reports, 12(2), 45-47. https://doi.org/10.33706/jemcr.836595
AMA Yücel E, Taş N. LATE ACUTE SPONTANEOUS GIANT EPIDURAL HEMATOMA AFTER VENTRICULOPERITONEAL SHUNT SURGERY. Journal of Emergency Medicine Case Reports. June 2021;12(2):45-47. doi:10.33706/jemcr.836595
Chicago Yücel, Engin, and Nilifer Taş. “LATE ACUTE SPONTANEOUS GIANT EPIDURAL HEMATOMA AFTER VENTRICULOPERITONEAL SHUNT SURGERY”. Journal of Emergency Medicine Case Reports 12, no. 2 (June 2021): 45-47. https://doi.org/10.33706/jemcr.836595.
EndNote Yücel E, Taş N (June 1, 2021) LATE ACUTE SPONTANEOUS GIANT EPIDURAL HEMATOMA AFTER VENTRICULOPERITONEAL SHUNT SURGERY. Journal of Emergency Medicine Case Reports 12 2 45–47.
IEEE E. Yücel and N. Taş, “LATE ACUTE SPONTANEOUS GIANT EPIDURAL HEMATOMA AFTER VENTRICULOPERITONEAL SHUNT SURGERY”, Journal of Emergency Medicine Case Reports, vol. 12, no. 2, pp. 45–47, 2021, doi: 10.33706/jemcr.836595.
ISNAD Yücel, Engin - Taş, Nilifer. “LATE ACUTE SPONTANEOUS GIANT EPIDURAL HEMATOMA AFTER VENTRICULOPERITONEAL SHUNT SURGERY”. Journal of Emergency Medicine Case Reports 12/2 (June 2021), 45-47. https://doi.org/10.33706/jemcr.836595.
JAMA Yücel E, Taş N. LATE ACUTE SPONTANEOUS GIANT EPIDURAL HEMATOMA AFTER VENTRICULOPERITONEAL SHUNT SURGERY. Journal of Emergency Medicine Case Reports. 2021;12:45–47.
MLA Yücel, Engin and Nilifer Taş. “LATE ACUTE SPONTANEOUS GIANT EPIDURAL HEMATOMA AFTER VENTRICULOPERITONEAL SHUNT SURGERY”. Journal of Emergency Medicine Case Reports, vol. 12, no. 2, 2021, pp. 45-47, doi:10.33706/jemcr.836595.
Vancouver Yücel E, Taş N. LATE ACUTE SPONTANEOUS GIANT EPIDURAL HEMATOMA AFTER VENTRICULOPERITONEAL SHUNT SURGERY. Journal of Emergency Medicine Case Reports. 2021;12(2):45-7.