Chronic subdural hematoma as a complication of endoscopic third ventriculostomy

Bong Soo Kim, George Jallo, Karl Kothbauer, I. Rick Abbott

Research output: Contribution to journalArticle

Abstract

Background Endoscopic third ventriculostomy has become a popular alternative to ventricular shunts for noncommunicating hydrocephalus. Although endoscopic third ventriculostomy is a safe procedure, several complications related to this procedure have been reported in the literature. The authors present a rare case of symptomatic bilateral subdural hematomas after an uneventful endoscopic third ventriculostomy. Case description A 51-year-old male patient presented with symptoms of obstructive hydrocephalus, headaches and memory disturbance. Magnetic resonance imaging demonstrated hydrocephalus secondary to aqueductal stenosis. An endoscopic third ventriculostomy was performed. The patient was discharged home in several days without complication. He then presented with headaches 3 weeks following surgery. A computed tomography study demonstrated bilateral subdural hematomas. These were treated with burr hole evacuation and drainage. Postoperatively, his headaches improved. At last follow-up he remains symptom-free and has radiographic evidence of a patent ventriculostomy. Conclusion This case confirms chronic subdural hematoma formation is a possible complication following third ventriculostomy. Patients should be followed closely for possible subdural hematoma formation.

Original languageEnglish (US)
Pages (from-to)64-68
Number of pages5
JournalSurgical Neurology
Volume62
Issue number1
DOIs
StatePublished - Jul 2004

Fingerprint

Ventriculostomy
Hematoma, Subdural, Chronic
Hydrocephalus
Subdural Hematoma
Headache
Drainage
Tomography
Magnetic Resonance Imaging

Keywords

  • Complication
  • endoscopy
  • hydrocephalus
  • subdural hematoma
  • third ventriculostomy

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Chronic subdural hematoma as a complication of endoscopic third ventriculostomy. / Kim, Bong Soo; Jallo, George; Kothbauer, Karl; Abbott, I. Rick.

In: Surgical Neurology, Vol. 62, No. 1, 07.2004, p. 64-68.

Research output: Contribution to journalArticle

Kim, Bong Soo ; Jallo, George ; Kothbauer, Karl ; Abbott, I. Rick. / Chronic subdural hematoma as a complication of endoscopic third ventriculostomy. In: Surgical Neurology. 2004 ; Vol. 62, No. 1. pp. 64-68.
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