Post shunt meningeal fibrosis: Role of contrast enhanced MRI in differentiation from chronic subdural hematoma

Post shunt meningeal fibrosis is an uncommon complication following VP shunt insertion and it presents with a diagnostic dilemma. It is a rare post shunt entity that may mimic chronic subdural hematoma on unenhanced CT and MR. Thus it is important to recognize it before any therapeutic intervention...

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Main Authors: Vikas Bhatia, Prashant Panda, Sanjiv Sharma, R.G. Sood
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2012-07-01
Series:Indian Journal of Neurosurgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.102291
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author Vikas Bhatia
Prashant Panda
Sanjiv Sharma
R.G. Sood
author_facet Vikas Bhatia
Prashant Panda
Sanjiv Sharma
R.G. Sood
author_sort Vikas Bhatia
collection DOAJ
description Post shunt meningeal fibrosis is an uncommon complication following VP shunt insertion and it presents with a diagnostic dilemma. It is a rare post shunt entity that may mimic chronic subdural hematoma on unenhanced CT and MR. Thus it is important to recognize it before any therapeutic intervention is being considered. We present a case of 47 year male who underwent VP shunt insertion for tubercular hydrocephalus 4 years ago. He presented with chronic headache for 6 months for which MRI brain was done. MRI finding revealed post shunt meningeal fibrosis thus differentiating from chronic subdural hematoma and hence obviated surgical drainage.
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publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Indian Journal of Neurosurgery
spelling doaj-art-965caa6945c04b13886415ef39aea8be2025-08-20T03:37:29ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672012-07-01010215816010.4103/2277-9167.102291Post shunt meningeal fibrosis: Role of contrast enhanced MRI in differentiation from chronic subdural hematomaVikas BhatiaPrashant Panda0Sanjiv SharmaR.G. SoodMedicine, IGMCPost shunt meningeal fibrosis is an uncommon complication following VP shunt insertion and it presents with a diagnostic dilemma. It is a rare post shunt entity that may mimic chronic subdural hematoma on unenhanced CT and MR. Thus it is important to recognize it before any therapeutic intervention is being considered. We present a case of 47 year male who underwent VP shunt insertion for tubercular hydrocephalus 4 years ago. He presented with chronic headache for 6 months for which MRI brain was done. MRI finding revealed post shunt meningeal fibrosis thus differentiating from chronic subdural hematoma and hence obviated surgical drainage.http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.102291contrast-enhanced mrimeningeal calluspost shunt meningeal fibrosis
spellingShingle Vikas Bhatia
Prashant Panda
Sanjiv Sharma
R.G. Sood
Post shunt meningeal fibrosis: Role of contrast enhanced MRI in differentiation from chronic subdural hematoma
Indian Journal of Neurosurgery
contrast-enhanced mri
meningeal callus
post shunt meningeal fibrosis
title Post shunt meningeal fibrosis: Role of contrast enhanced MRI in differentiation from chronic subdural hematoma
title_full Post shunt meningeal fibrosis: Role of contrast enhanced MRI in differentiation from chronic subdural hematoma
title_fullStr Post shunt meningeal fibrosis: Role of contrast enhanced MRI in differentiation from chronic subdural hematoma
title_full_unstemmed Post shunt meningeal fibrosis: Role of contrast enhanced MRI in differentiation from chronic subdural hematoma
title_short Post shunt meningeal fibrosis: Role of contrast enhanced MRI in differentiation from chronic subdural hematoma
title_sort post shunt meningeal fibrosis role of contrast enhanced mri in differentiation from chronic subdural hematoma
topic contrast-enhanced mri
meningeal callus
post shunt meningeal fibrosis
url http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.102291
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AT prashantpanda postshuntmeningealfibrosisroleofcontrastenhancedmriindifferentiationfromchronicsubduralhematoma
AT sanjivsharma postshuntmeningealfibrosisroleofcontrastenhancedmriindifferentiationfromchronicsubduralhematoma
AT rgsood postshuntmeningealfibrosisroleofcontrastenhancedmriindifferentiationfromchronicsubduralhematoma