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CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2020; 9(03): 147-150
DOI: 10.1055/s-0039-3402592
Original Article

Subdural Hematoma Complicating Ventriculoperitoneal Shunts: An Algerian Centers Experience

Ibrahim Assoumane
1   Department of Neurosurgery, Centre Hospitalier Universitaire, Bab El Oued, Algiers, Algeria
2   Department of Neurosurgery, Niamey National Hospital Niger, Niamey, Niger
,
M. Al-Zekri
1   Department of Neurosurgery, Centre Hospitalier Universitaire, Bab El Oued, Algiers, Algeria
,
A. Khelifa
1   Department of Neurosurgery, Centre Hospitalier Universitaire, Bab El Oued, Algiers, Algeria
,
N. Touati
1   Department of Neurosurgery, Centre Hospitalier Universitaire, Bab El Oued, Algiers, Algeria
,
N. Lagha
1   Department of Neurosurgery, Centre Hospitalier Universitaire, Bab El Oued, Algiers, Algeria
,
A. Sidi Said
1   Department of Neurosurgery, Centre Hospitalier Universitaire, Bab El Oued, Algiers, Algeria
,
A. Morsli
1   Department of Neurosurgery, Centre Hospitalier Universitaire, Bab El Oued, Algiers, Algeria
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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 endoscopic third ventriculostomy 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.

Keywords

subdural hematoma - hydrocephalus - ventriculoperitoneal shunt


Publication History

Article published online:
26 February 2020

© 2020. Neurological Surgeons’ Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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