Perioperative ipsilateral extradural hematoma at the site of ventriculoperitoneal shunt burr hole

Snehjeet Hemant Wagh, Nilesh Balkrishna Bakale, Srikant Balasubramaniam, Devendra K Tyagi, Hemant V Savant

African Journal of Trauma 2015 4(2):70-72

Ventriculoperitoneal (VP) shunt, a common neurosurgical procedure, has a long list of known complications associated with it. An unusual complication of VP shunt procedure is extradural hemorrhage (EDH), more common in children. Described here is a case of a 30 years old male with hydrocephalus due to posterior fossa tumor, who underwent shunt procedure for raised intracranial pressure but postoperatively developed extra-dural hematoma at the site of VP shunt burr hole which presented as hemiparesis. Craniotomy with evacuation of hematoma improved the hemiparesis.

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