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Epidural Hematoma Following Ventriculoperitoneal Shunt Revision in Open-Lip Schizencephaly; Case Report

Year: 2025

Type: article

Abstract: Schizencephaly is a rare congenital neuronal migration disorder characterized by clefts in the cerebral hemispheres. While hydrocephalus is not a universal feature, it can occur, particularly in open-lip schizencephaly, necessitating ventriculoperitoneal (VP) shunt placement. Epidural hematoma (EDH) is an uncommon but serious complication following VP shunt surgery, especially revision procedures. We present the case of a 4-year-old girl with bilateral open-lip schizencephaly and a history of VP shunt placement who developed a large EDH requiring surgical evacuation following a shunt revision. This report highlights the diagnostic and management challenges in such complex cases and discusses the potential mechanisms of post-shunt EDH formation.

Source: Journal of Clinical Surgery and Anesthesia

DOI: 10.61440/jcsa.2025.v3.27

Authors: Khulood K. Alraddadi, Sarmad Alkarawi

Institution: National Guard Health Affairs

Language: English

Topic: Neurosurgical Procedures and Complications

Subfield: Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W4411220014

FWCI:

Cites: 4

Cited by:

Related to: 10