LATE ACUTE SPONTANEOUS GIANT EPIDURAL HEMATOMA AFTER VENTRICULOPERITONEAL SHUNT SURGERY

Abstract Introduction: Subdural hematoma is the most common type of hemorrhage as a shunt complication following ventriculoperitoneal procedures. This caused by rupture bridging veins between dura mater and brain due to suddenly developing decrease in intracranial pressure. On other hand, mechanism late epidural hemorrhage, shunt, could not been clarified very clearly. Case Presentation: A 7-year old female patient had operated for meningomyelocele after birth. One month later, placed. She presented emergency department with nausea, vomiting, blurred consciousness loss strength (2/5) left upper extremity 4 years revision. Glasgow Coma Scale score 10. Brain computed tomography revealed giant right hemisphere. Conclusion: should be obtained postoperative period anti-siphon device used when placing shunt. In addition, we argue that use moderate-high pressure definitely effective preventing development hemorrhage. Keywords: Hydrocephaly – Epidural VP