BILATERAL SUBDURAL HEMATOMA AFTER VENTRICULOPERITONEAL SHUNT SURGERY

Yıl 2019, Cilt: 10 Sayı: 1, 26 - 28, 01.01.2019

Ulaş Yüksel , İbrahim Akkurt Mustafa Ogden , Bülent Bakar , Semih Keskil

https://doi.org/10.33706/jemcr.550572

Öz

Introduction: Bilateral subdural hematoma (SDH) following ventriculoperitoneal
(V/P) shunt application was discussed in present case.

Case Report: 8-year-old girl was operated due to thoracolumbar meningomyelocele
immediately after birth. V/ P shunt was inserted in right posterior parietal
region due to hydrocephalus when she was 3 month-old. At age of 3 years, V/P shunt
dysfunction was considered, and second V/P shunt was inserted in left posterior
parietal region. One year after, patient was reevaluated, and CT images showed
bilateral subacute SDH.  Hematoma evacuation
was not considered, but right ventricular catheter was ligated. At four years
follow-up, no additional neurological impairment was observed in patient and CT
scan revealed that SDHs were retracted greatly.

Concusion:
It should be
kept in mind that SDH could develop after V/P shunt surgery. Additionally, it
could be said that one of most important factor in determination of treatment
of this complication was primarily neurological examination findings of
patient.

Anahtar Kelimeler

bilateral subdural hematoma, hydrocephalus

Kaynakça

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