Bilateral subdural effusion and subcutaneous swelling with normally functioning csf shunt.
We report a child with hydrocephalus due to tuberculous meningitis who developed a subcutaneous fluid collection around the ventriculoperitoneal shunt tube entry point, after one month of shunting. On investigation, he had decompressed ventricles with bilateral fronto parietal subdural hygroma. Bifrontal burr hole drainage helped resolution of both subdural effusion and subcutaneous scalp swelling. This complication is unique and its pathogenesis has been postulated.
Mitra
S
S
Departments of Paediatrics and Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh, 160 012, India.
Ghosh
D
D
Pathak
A
A
Kumar
L
L
D000995:Antitubercular Agents / Q000627:therapeutic use; D002557:Cerebrospinal Fluid Shunts / Q000009:adverse effects*; D002675:Child, Preschool; D004487:Edema / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D006849:Hydrocephalus / Q000382:microbiology / Q000601:surgery; D008297:Male; D013353:Subdural Effusion / Q000000981:diagnostic imaging / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014390:Tuberculosis, Meningeal / Q000150:complications / Q000188:drug therapy
D000995:Antitubercular Agents