Presentation
Patient with a history of hydrocephalus presented with headache after ventriculoperitoneal shunt placement
Patient Data
Age: 70 years
Gender: Male
From the case:
CSF overshunting-associated bilateral subdural hematoma
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Info
Right-sided ventriculoperitoneal shunt with slit-like ventricles (a sign of overshunting).
Bilateral moderate subacute subdural hematoma.
Case Discussion
Elderly male with history of hydrocephalus presented with headache after placement of ventriculoperitoneal shunt.
Findings consistent with subdural hematoma due to overshunting (a known complication of VP shunt) due to stretching of bridging veins as the brain sinks away from the skull as the pressure inside the ventricles drops after shunting.
Case courtesy of Dr. Sattar Al Eisawi, consultant radiologist
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