Troubles neurologiques

Chronic Bilateral Subdural Hematoma Complicated by Bilateral Epidural Hematoma Complicating Ventriculo-peritoneal Shunt

Abstract

Hassan Baallal, Ali Akhaddar, Miloud Gazzaz and Brahim El Moustarchid

We report the case of a 40-year-old man with ventriculo-peritoneal shunt who presented with chronic subdural hematoma (CSDH). He underwent burr-hole craniostomy with a closed drainage system. A computed tomography scan conducted on postoperative demonstrated a bilateral acute epidural haematoma in the occipital location. Craniotomy and haematoma evacuation were immediately performed. To the best of our knowledge, this is the first reported case of an acute bilateral hematoma after drainage of a chronic bilateral subdural hematoma complicating ventriculo-peritoneal shunt. Although extremely rare, it should be considered as a possible complication.