Delayed intracerebral and subdural hematomas after ventriculo-peritoneal shunt in a child: A case report and review of the literature

O Coulibaly; M Dama; O Diallo; G Li; Y Sogoba; D Kanikomo

doi:10.1016/j.neuchi.2016.01.003

Delayed intracerebral and subdural hematomas after ventriculo-peritoneal shunt in a child: A case report and review of the literature

Neurochirurgie. 2016 Apr;62(2):105-7. doi: 10.1016/j.neuchi.2016.01.003. Epub 2016 Apr 28.

Authors

O Coulibaly¹, M Dama², O Diallo², G Li³, Y Sogoba⁴, D Kanikomo⁴

Affiliations

¹ Department of Neurosurgery, Hôpital du Mali, University of Bamako, Bamako, Mali. Electronic address: coulibalynch1@gmail.com.
² Department of Neurosurgery, Hôpital du Mali, University of Bamako, Bamako, Mali.
³ Department of Neurosurgery, Hôpital du Mali, University of Bamako, Bamako, Mali; The First Affiliated Hospital, School of Medicine, Zhejiang University, Zhejiang, China.
⁴ Department of Neurosurgery, Hôpital Gabriel Touré, University of Bamako, Bamako, Mali.

PMID: 27133380
DOI: 10.1016/j.neuchi.2016.01.003

Abstract

Ventriculo-peritoneal shunt (VPS) continues to remain the main diverted method to drain the cerebrospinal fluid (CSF) from the ventricles to the peritoneal cavity. It has some complications that must be managed promptly to avoid any eventual fatal evolution. The association of delayed intracerebral and subdural hematomas after VPS insertion is a very rare complication and has, to our knowledge, never previously been reported in the literature. We report a very uncommon association of this entity occurring 11months after a shunt placement in a 13-year-old boy and discuss the likely pathogenesis, as well as the clinical and the radiological data.

Keywords: Complications de la DVP; Hydrocephalus; Hydrocéphalie; Hématome intracrânien; Intracranial hematoma; VPS complications.

Publication types

Case Reports
Review

MeSH terms

Adolescent
Brain Abscess / diagnosis
Cerebral Hemorrhage / etiology*
Craniotomy
Decompression, Surgical
Diagnostic Errors
Drainage
Epilepsy / etiology
Hematoma / diagnosis
Hematoma / diagnostic imaging
Hematoma / etiology*
Hematoma, Subdural / diagnosis
Hematoma, Subdural / diagnostic imaging
Hematoma, Subdural / etiology
Humans
Hydrocephalus / diagnosis
Hydrocephalus / diagnostic imaging
Hydrocephalus / surgery
Irritable Mood
Male
Postoperative Complications / etiology*
Postoperative Complications / physiopathology
Postoperative Complications / surgery
Tomography, X-Ray Computed
Ventriculoperitoneal Shunt / adverse effects*