CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2018; 07(03): 223-226
DOI: 10.1055/s-0037-1602751
Case Report
Neurological Surgeons' Society of India

“Drowning Brain in a Pool of CSF” — A Rare Complication of Periencephalic Subdural Panhygroma following Removal of a Posterior Fossa Tumor

Bikash Ranjan Behera
1  Department of Neurosurgery, SCB Medical College, Cuttack, India
,
Ram Chandra Deo
1  Department of Neurosurgery, SCB Medical College, Cuttack, India
,
Sanjib Mishra
1  Department of Neurosurgery, SCB Medical College, Cuttack, India
,
Jyotirmayee Biswal
2  Peerless Hospital, Kolkata, West Bengal, India
,
Deepak Das
1  Department of Neurosurgery, SCB Medical College, Cuttack, India
› Author Affiliations
Further Information

Publication History

Received: 06 August 2016

accepted: 07 February 2017

Publication Date:
12 October 2017 (online)

  

Abstract

Posterior fossa tumors are commonly encountered in pediatric age group patients. Most of these tumors present with features of hydrocephalus in the child. Conventionally, these cases are managed by suboccipital craniotomy with decompression of the tumor mass to establish the free flow of cerebrospinal fluid (CSF) across fourth ventricle and aqueduct of Sylvius. Following resection of posterior fossa tumor, appearance of subdural hygroma is a rare phenomenon.

Though few cases of subdural hygroma are reported in literature following foramen magnum decompression in Chiari's malformation, their appearance following posterior fossa tumor resection is alien to medical literature and limited to only two case reports. Here the authors present a patient with periencephalic subdural panhygroma (PSP) following posterior fossa tumor resection who was successfully treated with a ventriculoperitoneal shunt (VPS) to accomplish a symptomatic and radiologic remission.