Bilateral Chronic Subdural Haematoma After Endoscopic Third Ventriculostomy: Case Report and Review of the Literature

Abstract

Several complications related to Endoscopic third ventriculostomy (ETV) have been reported in the literature including chronic subdural haematoma. This is usually unilateral. We report a case of a 12-month-old female child with bilateral chronic subdural haematoma (CSH) 3months after an ETV. She had a ventriculoperitoneal shunt at 5months of age on account of congenital aqueductal stenosis with marked cerebral mantle thining. At 9months of age an ETV was done due to shunt obstruction. The CSH was successfully treated by burr-hole evacuation on both sides. Though ETV is a simple, effective and safe procedure, and also the main stay of treatment for noncommunicating hydrocephalus in many centres, long term follow up should still be emphasised.