Recurrent intracranial epidural hematoma following ventriculoperitoneal shunt in a child

Abstract

Intracranial hematoma is commonly observed in neurosurgical practice. However, recurrent intracranial epidural hematoma following ventriculoperitoneal (VP) shunt is more of an exception than the norm. It is a rare but serious cause of morbidity and mortality in patients with VP shunt. However, treatment is very promising especially with surgical intervention in time. Here we report a case of a ten-year-old girl who presented with chronic headache for a couple of years whose imaging features suggested a hydrocephalus with tonsillar herniation. Initially, she developed right frontotemporal hematoma and then bilateral frontal epidural hematoma following a VP shunt. Emergency decompression was done.