Subdural Hematoma Complicating Ventriculoperitoneal Shunts: An Algerian Centers Experience

Abstract

Introduction Subdural hematoma can occur as a complication of a ventriculoperitoneal shunt (VPS), and it should be considered in any patient who present a shunt dysfunction or who does not show the expected recovery after revision of a shunt. Computed tomography (CT) scan is a quick and easy way of detecting subdural hematoma. Materials and Methods We conduct a retrospective study of 17 patients. All of them are admitted for a subdural hematoma on a VPS. The diagnosis in 13 cases is made by CT scan; three cases by brain MRI. Results We operated 16 patients and the evacuation of the hematoma with revision of the shunt was performed; we used an adjustable shunt for three patients and ETV in one case. The operative outcomes were favorable in 12 patients; there were 4 recurrences, 2 of which required evacuation of the hematoma through a bone flap. Conclusion The subdural hematoma is a complication observed during the surgical treatment of the hydrocephalus and can be a serious issue. We suggest that a brain CT scan should be routinely performed in symptomatic patients with VPS.

Outcome in Normal Pressure Hydrocephalus after Ventriculoperitoneal Shunt in Tertiary Care Hospital

“…At our centre, during the study, we used medium pressure shunts under aseptic measure and limited staff in operation theatre so no patients developed complication of subdural dural hematoma and only two patients developed infections, we had excellent results in 78.7% while good results in 17% and 4.2% had poor outcome while Assoumane et al 17 in their study stated that complication of subdural hematoma was observed during hydrocephalus treatment and this can prove to be a significant complication. This study has also supported a post-surgery CT brain to exclude such complications.…”