A rare case of large bilateral epidural hematoma following ventriculoperitoneal shunt: a case report with review of literature
Journal Title: International Journal of Medical Research and Review - Year 2016, Vol 4, Issue 1
Abstract
Epidural hematoma discovered several years after ventriculoperitoneal shunt procedure is a rare complication. It may be associated with ventricular decompression due to unregulated lowering of intra-cranial pressure. This leads to generation of suction force on structures between the cortex and the inner table of the skull resulting in bleeding from tearing of cortical bridging veins. We report a case of a 15-year-old female patient who underwent an uneventful ventriculoperitoneal shunt at the age of 6 months. 14 years later CT scan was done for the complaints of frequent headache that showed 2 large sized lesions that were partially calcified epidural hematomas. After surgical decompression of the larger of the two hematomas, patient’s symptoms improved. We discuss the possible factors responsible for epidural hematoma, its calcification and ways to prevent or minimize such an avoidable complication.
Authors and Affiliations
Ali Mahad Musallam Al-Mashan, Neeraj Salhotra, Azmat Ali, Rashid M Khan, Naresh Kaul,
Keywords
Related Articles
- EP ID EP227504
- DOI 10.17511
- Views 173
- Downloads 0
Effect of premolar extraction on Bolton overall ratio in north Indian population
Introduction: Bolton ratio is considered as seventh key of normal occlusion. Many orthodontic patients have to undergo premolar extractions as a part of treatment. Aims and objectives: The present study was taken up to i...
Role of imaging in evaluation of intestinal obstruction
Introduction: Small bowel obstruction (SBO) is a common clinical entity that occurs secondary to mechanical or functional obstruction of the small gut, preventing normal passage of its contents. It constitutes 20% of all...
Comparison of thyroid profile in premenopausal and postmenopausal women: A case control study
Introduction : After menopause, diminishedgonadal hormones are found to influence thyroid status. There are a few published literature in this area, to the best of our knowledge. Aim of the study was to compare thyroid p...
Smoking and its association with serum lipid levels
Objective: To compare the effect of smoking over lipid profile. Method: Total 100 subjects were included in this study, 50 were smoker and 50 non-smoker. All the factors other then smoking those can lead to dyslipidemia...
Transient acute paralysis (? Toxicity of ayurvedic medications)- a Case Report
Ayurvedic medicines have a long history of usage in Indian history. Side effects have been listed but enough experience of side effects and toxicity in humans is unknown. Here is a case presented with possible toxicity o...