title: Shunt site chronic calcified extradural hematoma: An avoidable complication.
abstract: Extradural hematoma (EDH) after ventriculoperitoneal (VP) shunt procedure is a rare, dangerous but easily avoidable and manageable complication. It is more common in children and young adults presumably due to relatively lax adhesion of dura to calvarium. We report a case of an 18-year-old male with acqueductal stenosis who underwent VP shunt procedure. Three months later, a computed tomography (CT) scan was done for the complaints of intractable headache and altered sensorium which showed chronic calcified EDH near shunt site. The ventricular catheter was in position and the ventricles were decompressed. After surgical decompression of EDH his symptoms improved. We discuss the factors leading to formation of EDH, with stress on proper technique to prevent or minimize such an avoidable complication.
authors.affiliation: Department of Neurosurgery, Shrirama Chandra Bhanj Medical College, Cuttack, Odisha, India.
authors.forename: Sudhansu Sekhar
authors.initials: SS
authors.lastname: Mishra
authors.affiliation: Department of Neurosurgery, Shrirama Chandra Bhanj Medical College, Cuttack, Odisha, India.
authors.forename: Mani Charan
authors.initials: MC
authors.lastname: Satapathy
authors.affiliation: Department of Neurosurgery, Shrirama Chandra Bhanj Medical College, Cuttack, Odisha, India.
authors.forename: Satya Bhusan
authors.initials: SB
authors.lastname: Senapati
keywords: Calcified; shunt site extradural hematoma; ventriculoperitoneal shunt