Hydrocephalus and subdural effusion with extracranial extension complicating meningitis.
Post-meningitic subdural effusion does not extend extracranially. To our knowledge, the association of hydrocephalus and extracranial extension of a subdural effusion has not been previously reported. We present a case of an 8-year-old boy who presented with progressive head enlargement and worsening pulsatile peri-orbital swelling of 1 year duration. Cranial computerized tomographic scan confirmed communicating hydrocephalus and bilateral subdural effusion worse on the right side. The patient had a ventriculo-peritoneal shunt, with resolution of the subdural effusion and his hydrocephalus.
Idowu
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OE
Neurosurgery Unit, Department of Surgery, Lagos State University College of Medicine, Lagos, Nigeria. oeidowu412@yahoo.com
Olumide
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AA
D002648:Child; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology* / Q000628:therapy; D008297:Male; D016920:Meningitis, Bacterial / Q000150:complications*; D013353:Subdural Effusion / Q000209:etiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D017287:Ventriculoperitoneal Shunt