title: Armored brain in patients with hydrocephalus after shunt surgery: review of the literatures.
abstract: Armored brain or chronic calcified subdural hematoma is a rare complication of     cerebrospinal fluid diversion with few cases reported in the literature.     Seventeen patients with this pathology have been published. A complete review of     the literatures regarding this topic has been collected and discussed. The     author also presents a 12- year old boy with triventricular hydrocephalus who     had undergone ventriculoperitoneal medium pressure shunt system since birth. The     patient presented to our clinic with a 2-year history of seizures. The patient     was conscious and without neurological deficits on examination. Computed     tomography of the brain showed bilateral high density mass with surface     calcification. X ray skull and MRI confirmed the calcified subdural hematoma     bilaterally. We preferred conservative treatment and the patient continued his     antiepileptic treatment. At one year follow up, the patient had the same     neurological state. The case highlights the importance of frequent follow up CT     brain after shunt surgery.
authors: Zagazig University Hospitals, Department of Neurosurgery, Zagazig, Egypt. mahmoudlotfy1972@yahoo.co.uk
authors: Mahmoud M
authors: MM
authors: Taha
mesh_terms: D000927:Anticonvulsants / Q000627:therapeutic use; D002114:Calcinosis / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D002648:Child; D020200:Hematoma, Subdural, Chronic / Q000473:pathology / Q000601:surgery*; D006801:Humans; D006849:Hydrocephalus / Q000150:complications / Q000151:congenital / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D012640:Seizures / Q000188:drug therapy / Q000209:etiology; D014057:Tomography, X-Ray Computed; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects
chemical_list: D000927:Anticonvulsants