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Updated: Mar 14, 2026

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
Ventriculoperitoneal (VP) Shunt-Associated Calcified Chronic Subdural Hematoma: Armored Brain Management With Shunt
Hajar Hamadi1, Oumaima Monadi1, Yassine Ait M'Barek1
1Neurological Surgery, Ibn Tofail Hospital, Mohammed VI University Hospital, Marrakech, MAR.
Abstract:
Calcified chronic subdural hematoma (CCSDH) or "armored brain" is a rare, late-stage complication that has been reported more often in children and young adults and may arise after ventriculoperitoneal (VP) shunting. We present a case of a 14-year-old male patient with cerebral palsy and a VP shunt presenting with intermittent headache. A non-contrast CT scan was consistent with bilateral CCSDH. The patient underwent shunt revision and remained asymptomatic during a follow-up period of two years. Through this case, we illustrate the importance of individualized management guided by clinical and imaging findings.
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