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Unusual Case of Acute Subdural Hematoma after Endoscopic Third Ventriculostomy: A Case Report and Comprehensive Literature Review

Author

Listed:
  • Jihad Echnin

    (University Hospital Center Ibn Rochd, Morocco)

  • Nassima Daite

    (University Hospital Center Ibn Rochd, Morocco)

  • Nassima Daite

    (University Hospital Center Ibn Rochd, Morocco)

  • Abdelkedouss Laaidi

    (University Hospital Center Ibn Rochd, Morocco)

  • Said Hilmani

    (University Hospital Center Ibn Rochd, Morocco)

  • Khadija Ibahioin

    (University Hospital Center Ibn Rochd, Morocco)

  • Abdessamad Naja

    (University Hospital Center Ibn Rochd, Morocco)

  • Abdelhakim Lakhdar

    (University Hospital Center Ibn Rochd, Morocco)

Abstract

Background: Endoscopic third ventriculostomy (ETV) is a valuable treatment for obstructive hydrocephalus, but it is not without complications. We present a rare case of acute subdural hematoma following ETV and provide a literature review on the subject. Case Description: A 23-year-old patient underwent ETV in 2016 for hydrocephalus, resulting in symptom improvement. Four years later, the patient experienced a recurrence of symptoms and underwent a second ETV. Meningitis developed, causing a decline in neurological status. Imaging revealed a calcified mesencephalic lesion, tri-ventricular hydrocephalus, and an acute right parieto-temporo-occipital subdural hematoma. Surgical evacuation and external ventricular drainage were performed, followed by CSF sterilization and a self-adjusting valve placement. Conclusion: Excessive CSF loss during ETV may contribute to subdural hematoma. ETV remains the preferred treatment for non-communicating hydrocephalus, and enhanced training and experience can reduce complication rates.

Suggested Citation

  • Jihad Echnin & Nassima Daite & Nassima Daite & Abdelkedouss Laaidi & Said Hilmani & Khadija Ibahioin & Abdessamad Naja & Abdelhakim Lakhdar, 2023. "Unusual Case of Acute Subdural Hematoma after Endoscopic Third Ventriculostomy: A Case Report and Comprehensive Literature Review," European Journal of Medical and Health Sciences, European Open Science, vol. 5(4), pages 6-9, July.
    • Handle: RePEc:epw:ejmed0:v:5:y:2023:i:4:id:41852
    DOI: 10.24018/ejmed.2023.5.4.1852
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