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Anesthetic management of a case of armored brain

Surender Kumar Gupta1, Mihir Prakash Pandia1

  • 1Department of Neuroanesthesiology, All India Institute of Medical Sciences, New Delhi, India.

Saudi Journal of Anaesthesia
|January 6, 2015
PubMed

Insights

Armored brain, a rare complication of chronic subdural hematoma (SDH), can occur after a ventriculoperitoneal (VP) shunt surgery. This case highlights the potential for severe complications from VP shunts, necessitating surgical removal of the calcified hematoma.

Area of Science:

  • Neurosurgery
  • Neurology
  • Radiology

Background:

  • Chronic subdural hematoma (SDH) involves blood accumulation between the dura mater and arachnoid mater.
  • Ventriculoperitoneal (VP) shunts are used to treat hydrocephalus by draining excess cerebrospinal fluid.

Observation:

  • A rare case of 'armored brain' developed due to calcification within a chronic SDH.
  • This complication arose following a VP shunt procedure.

Findings:

  • The patient required major surgery to remove the calcified subdural hematoma.
  • Calcification of chronic SDH represents a significant, albeit uncommon, complication of VP shunts.

Implications:

  • Highlights the potential for severe neurological complications from routine VP shunt surgeries.
  • Emphasizes the importance of recognizing and managing calcified chronic SDH.
  • Underscores the need for vigilance regarding long-term shunt complications.

Keywords:
Armored brainSubdural hematomaventriculo peritoneal shunt

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