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Related Experiment Videos

Symptomatic calcified subdural hematomas.

R R Sharma1, A Mahapatra, S J Pawar

  • 1The National Neurosurgical Center, Khoula Hospital, Mina-Al-Fahal, Muscat, Sultanate of Oman. sharmarr@gto.net.com

Pediatric Neurosurgery
|March 9, 2000
PubMed
Summary
This summary is machine-generated.

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Chronic calcified subdural hematomas are rare long-term complications in children following ventriculoperitoneal shunt surgery for hydrocephalus. Surgical excision led to good recovery in these unique cases.

Area of Science:

  • Pediatric Neurosurgery
  • Neurology
  • Medical Complications

Background:

  • Ventriculoperitoneal shunts are standard treatment for congenital hydrocephalus.
  • Long-term complications, though infrequent, require ongoing vigilance.
  • Chronic calcified subdural hematomas are an unusual sequela.

Observation:

  • Two pediatric patients with congenital hydrocephalus underwent ventriculoperitoneal shunt placement in infancy.
  • Following initial shunt procedures, one patient experienced a subdural collection requiring evacuation.
  • Both patients remained asymptomatic for approximately nine years.

Findings:

  • Patients presented with acute raised intracranial pressure and hemiparesis.
  • CT scans revealed significant mass effect from chronic calcified subdural hematomas.

Related Experiment Videos

  • Shunt systems were functional, indicating the hematomas were a separate complication.
  • Implications:

    • Highlights a rare but serious long-term complication of ventriculoperitoneal shunts.
    • Emphasizes the need for monitoring and considering calcified subdural hematomas in shunt patients with neurological decline.
    • Surgical management via craniotomy and hematoma excision offers favorable outcomes.