Chronic subdural hematoma as a complication of endoscopic third ventriculostomy

Surgical Neurology
Bong-Soo KimI Rick Abbott

Abstract

Endoscopic third ventriculostomy has become a popular alternative to ventricular shunts for noncommunicating hydrocephalus. Although endoscopic third ventriculostomy is a safe procedure, several complications related to this procedure have been reported in the literature. The authors present a rare case of symptomatic bilateral subdural hematomas after an uneventful endoscopic third ventriculostomy. A 51-year-old male patient presented with symptoms of obstructive hydrocephalus, headaches and memory disturbance. Magnetic resonance imaging demonstrated hydrocephalus secondary to aqueductal stenosis. An endoscopic third ventriculostomy was performed. The patient was discharged home in several days without complication. He then presented with headaches 3 weeks following surgery. A computed tomography study demonstrated bilateral subdural hematomas. These were treated with burr hole evacuation and drainage. Postoperatively, his headaches improved. At last follow-up he remains symptom-free and has radiographic evidence of a patent ventriculostomy. This case confirms chronic subdural hematoma formation is a possible complication following third ventriculostomy. Patients should be followed closely for possible subdural hematoma format...Continue Reading

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Citations

Apr 23, 2013·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Luxin Yin, Liwei Zhang
Aug 5, 2005·Neurosurgical Focus·Neal LutherMark M Souweidane
Jul 29, 2005·Neurosurgical Focus·Khan W LiGeorge I Jallo
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Sep 29, 2011·Journal of Theoretical Biology·Amin Mehrabian, Younane Abousleiman
Oct 16, 2010·Neurosurgery Clinics of North America·Daniel J Guillaume
Jan 13, 2006·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Ramon NavarroTadanori Tomita
Jul 11, 2007·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Dorothee WiewrodtWolfgang Wagner
Jan 16, 2007·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Senta KurschelShizuo Oi
Mar 5, 2008·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Yusuf Erşahin, Dilek Arslan
Sep 20, 2008·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·H KnausU W Thomale
Nov 26, 2010·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Tuncer Turhan, Yusuf Ersahin

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