Acute Epidural Hematoma after Ventriculoperitoneal Shunt Insertion: A Case Report

Background & Importance: Acute epidural hematoma is a very rare complication of ventriculoperitoneal shuntinsertion. The insertion of a ventriculoperitoneal shunt can cause sudden decompression of the brain, subsequent towhich epidural hematoma occurs due to CSF drainage. To our knowledge, there are only a few cases of acute epiduralhematoma in the literature which required acute evacuation.Case Presentation: In this report, we present a case of epidural hematoma close to ventriculoperitoneral shunt insertionsite in a 30-year-old man after failure of endoscopic surgery for opening of the wall of a suprasellar arachnoid cyst.Secondary to communication between cyst and ventricles and clinical symptoms and sings, the patient underwent theshunt insertion. The patient became comatose two hours following the insertion of the shunt, developing a voluminousright temporo-parietal epidural hematoma that had to be evacuated immediately. Here, we intend to discuss both thepathophysiology and treatment.Conclusion: Development of epidural hematoma after ventriculoperitoneal shunt surgery is a devastating complication.Dehisensce formation between the skull and dura matter, which may be facilitated by lax adhesion between the two,is a common underlying pathology. We recommend a close post-surgical observation for immediate diagnosis and reoperationof this event.

کلیدواژه ها:

Acute ، Epidural ، Hematoma ، Ventriculoperitoneal shunt