Epidural Abscess Following Epidural Evacuation in a Patient With Ventriculoperitoneal Shunt: A Case Report

Afaf Shaabi1, Rana H Moshref1

  • 1Neurological Surgery, King Fahad General Hospital, Jeddah, SAU.

Cureus
|December 6, 2021
PubMed

Insights

Epidural abscesses are common intracranial infections. This case highlights a pediatric patient who developed an epidural pus collection post-hematoma evacuation, emphasizing meticulous treatment.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Pediatrics

Background:

  • Epidural abscesses represent a significant category of intracranial infections.
  • Chronic hematopoiesis and specific periosteal characteristics can be associated risk factors.

Observation:

  • A pediatric patient with chronic hematopoiesis and thickened double periosteal layers presented with an epidural pus collection.
  • This complication arose subsequent to an epidural hematoma evacuation procedure.

Findings:

  • The case underscores the potential for developing intracranial abscesses and pus formation following epidural hematoma evacuation.
  • Early detection of such post-operative complications is critical for timely intervention.

Implications:

  • Meticulous management is essential for treating pediatric patients with epidural abscesses.
  • This case emphasizes the need for vigilance regarding complications after neurosurgical interventions like hematoma evacuation.

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