Intradiploic hematoma in a patient who underwent internal drainage of CSF for hydrocephalus

Area of Science:

• Neuroscience
• Pediatric Neurosurgery
• Radiology

Background:

• Hydrocephalus is a condition characterized by excess cerebrospinal fluid (CSF) within the brain's ventricles.
• Internal CSF drainage is a common neurosurgical procedure to manage hydrocephalus.
• Intradiploic hematomas are rare collections of blood within the diploë of the skull.

Observation:

• A 2-year-old patient presented with an encapsulated intradiploic hematoma.
• The patient had undergone internal CSF drainage for hydrocephalus six months prior to this observation.
• Imaging and surgical exploration were used to characterize the hematoma.

Findings:

• The surgical findings of the encapsulated intradiploic hematoma are described in detail.
• The hematoma was successfully managed surgically.
• Etiopathological causes for the development of the hematoma in this context were discussed.

Implications:

• This case highlights a rare complication potentially associated with neurosurgical procedures like CSF drainage.
• Understanding the etiopathology of intradiploic hematomas is crucial for pediatric neurosurgery.
• Further research may elucidate the specific mechanisms linking CSF drainage and intradiploic hematoma formation.