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Contralateral massive acute subdural collection after endoscopic third ventriculostomy - a case report
A Mohanty1, B Anandh, M S Reddy
1Department of Neurosurgery and Neuroanaesthesiology, National Institute of Mental Health and Neurosciences, Bangalore, India.
Minimally Invasive Neurosurgery : MIN
|June 1, 1997
Summary
A rare case of acute subdural collection after neuroendoscopic third ventriculostomy is presented. Successful resuscitation and complete recovery were achieved by aspirating the collection.
Area of Science:
- Neurosurgery
- Neurology
- Medical Case Reports
Background:
- Neuroendoscopic third ventriculostomy is a minimally invasive procedure for cerebrospinal fluid (CSF) diversion.
- Subdural collections are a potential, though uncommon, complication following neurosurgical interventions.
Observation:
- An adult patient developed a contralateral massive subdural collection acutely after undergoing neuroendoscopic third ventriculostomy.
- The patient experienced a cardiorespiratory arrest in the recovery room, necessitating immediate resuscitation.
Findings:
- The subdural collection was successfully aspirated.
- The patient experienced a complete neurological recovery post-aspiration.
Implications:
- This case highlights a rare but serious complication of neuroendoscopic third ventriculostomy.
- Prompt recognition and intervention, such as aspiration, are crucial for favorable outcomes in such cases.
- Further research into the pathophysiology and prevention of post-neurosurgical subdural collections is warranted.