Delayed incidental diagnosis of postoperative extradural hematoma following ventriculoperitoneal shunt

Vinay, Byrappa; Redhu, Shruti; Bhadrinarayan, Varadarajan

doi:10.4103/0976-3147.143211

Cited by 5 publications

(7 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These hematomas may be ipsilateral, contralateral, or bilateral, including multiple locations. Various hypotheses regarding the pathophysiology of this remote EDH have been suggested [ 3 15 16 28 ]. These hypotheses include a sudden decrease in ICP; massive drainage of CSF; unequal distribution of ICP, which causes brain shifting; underlying coagulopathies; and excessively powerful pin fixation, which penetrates the inner table of the skull bone.…”

Section: Discussionmentioning

confidence: 99%

“…An EDH can develop regionally; adjacently; or distantly, in a remote area that is removed from the operation site [ 1 ]. There are some reports of remote EDHs that occurred after a ventriculo-peritoneal shunt operation [ 3 4 5 6 7 8 9 10 11 12 13 14 ] or a decompressive craniectomy [ 15 16 ]. Few cases of postoperative remote EDHs after brain tumor surgery have been reported [ 2 17 18 19 20 21 22 23 ], especially in posterior fossa surgery [ 24 25 26 27 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Remote Postoperative Epidural Hematoma after Brain Tumor Surgery

Chung

Park

et al. 2015

Brain Tumor Res Treat

View full text Add to dashboard Cite

A postoperative epidural hematoma (EDH) is a serious and embarrassing complication, which usually occurs at the site of operation after intracranial surgery. However, remote EDH is relatively rare. We report three cases of remote EDH after brain tumor surgery. All three cases seemed to have different causes of remote postoperative EDH; however, all patients were managed promptly and showed excellent outcomes. Although the exact mechanism of remote postoperative EDH is unknown, surgeons should be cautious of the speed of lowering intracranial pressure and implement basic procedures to prevent this hazardous complication of brain tumor surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Remote Postoperative Epidural Hematoma after Brain Tumor Surgery

Chung

Park

et al. 2015

Brain Tumor Res Treat

View full text Add to dashboard Cite

show abstract

“…Inadequate hemostasis of dural margins or bone, bleeding diathesis, or venous malformations are the other causes. 9,10 In our case, gradual collapse of the cortex on the right side following VP shunt surgery led to the formation of chronic SDH. Rapid shrinkage of ventricle followed by collapse of the cortex and inadequate hemostasis of dural margins were probable causes of EDH formation on the left side.…”

Section: Discussionmentioning

confidence: 57%

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

Yadav,

Prasad

2023

Asian J Neurosurg

View full text Add to dashboard Cite

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.

show abstract

“…Moreover, the removal of the tumor reduced the cerebral volume, and the secondary decrease in intracranial pressure might lead to brain shift, eventually resulting to bridging vein rupture. [ 15 – 18 ] However, the above hypothesis of mechanical traction is more likely to be associated with epidural hematoma rather than subdural hematoma. Thus, the investigators considered that the previous history of meningitis may be a crucial risk factor.…”

Section: Discussionmentioning

confidence: 99%

Postoperative subdural hematoma as a rare complication of non-traumatic craniotomy

Gao¹,

Liu

Xu³

et al. 2021

Medicine

View full text Add to dashboard Cite

Rationale: Postoperative intracranial hemorrhage is a serious and even fatal complication after non-traumatic craniotomy, in which epidural hematoma and intracerebral hematoma are relatively common. Postoperative subdural hematoma is rare, and its pathogenic mechanism remains unclear. Patient concerns: In the present study, we report 2 cases with postoperative subdural hematoma after non-traumatic craniotomy. Diagnoses: The diagnosis of acute subdural hematoma (aSDH) was rendered according to the imaging features. Interventions: Hematoma evacuation was performed immediately. Outcomes: Two months later, the first patient continued to have impaired consciousness and sensorimotor deficiency in the right extremities. And the second one remained unconscious and continued to have sensorimotor disturbance in the right extremities after 6 weeks of rehabilitation. Lessons: Neurosurgeons should be aware of potential subdural hematoma after non-traumatic craniotomy, since this condition is usually latent and associated with poor prognosis. Early identification and surgical evacuation should be highlighted.

show abstract

Delayed incidental diagnosis of postoperative extradural hematoma following ventriculoperitoneal shunt

Cited by 5 publications

References 8 publications

Remote Postoperative Epidural Hematoma after Brain Tumor Surgery

Remote Postoperative Epidural Hematoma after Brain Tumor Surgery

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

Postoperative subdural hematoma as a rare complication of non-traumatic craniotomy

Contact Info

Product

Resources

About