CSF overshunting associated with bilateral subdural hematoma

Case contributed by Dr Ahmed Abdulsahib Khawwam

Presentation

Patient with a history of hydrocephalus presented with headache after ventriculoperitoneal shunt placement

Patient Data

Age: 70 years
Gender: Male

Right sided ventriculoperitoneal shunt with slit like ventricles (sign of over-shunting)

Bilateral moderate subacute subdural hematoma 

Case Discussion

Old aged male with history of hydrocephalus presented with headache after placement of ventriculoperitoneal shunt 

findings consistent with subdural hematoma due to over shunting (a known complication of VP shunt) which may occur due to stretching of bridging veins as the brains sinks away from skull as the pressure inside the ventricles drops after shunting 

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Case information

rID: 64456
Published: 30th Nov 2018
Last edited: 30th Nov 2018
Inclusion in quiz mode: Included
Institution: Al Sadder medical city - Najaf

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