Acute Extradural Hematoma following Ventriculoperitoneal Shunt

Ventriculoperitoneal shunt, an extremely commonly performed neurosurgical procedure, can lead to rare life-threatening complications. The occurrence of extradural hematoma following internal diversion of cerebrospinal fluid is quite rare. We report a case of an 8-year-old girl who developed acute extradural hematoma following shunt for fourth ventricular outlet obstruction. Early diagnosis and management of this complication resulted in good outcome. We discuss the possible explanations for the development of hematoma as well as certain precautionary measures to be taken to avoid this catastrophic complication.