REVIEW
Introdução: A cirurgia de derivação ventrículo-peritoneal (DVP) é um tratamento comum para hidrocefalia, redirecionando o líquido cefalorraquidiano (LCR), mas pode levar a complicações como hematomas subdurais, afetando negativamente o prognóstico do paciente. Este relato inclui um caso ilustrativo de um paciente do sexo masculino, 68 anos, que desenvolveu hematomas subdurais bilaterais após VPS. A intervenção cirúrgica foi bem sucedida. Métodos: Foi realizada uma revisão sistemática no PubMed (2014-2024), com foco na incidência, fatores de risco e estratégias de manejo clínico. Resultados: A análise destacou fatores-chave como técnica cirúrgica, presença de coagulopatias e diagnóstico precoce por TC/RM como críticos para a obtenção de desfechos favoráveis. Discussão: Fatores relacionados ao paciente, incluindo idade avançada e uso de anticoagulantes, aumentam significativamente o risco. Estratégias preventivas e intervenções oportunas podem melhorar os resultados clínicos. Conclusão: Os hematomas subdurais são complicações graves após a cirurgia de DVP. O diagnóstico precoce e o manejo clínico adequado são essenciais.
Introduction: Ventriculoperitoneal Shunt (VPS) surgery is a common treatment for hydrocephalus, redirecting cerebrospinal fluid (CSF), but it can lead to complications such as subdural hematomas, adversely impacting patient prognosis. This report includes an illustrative case of a 68-year-old male patient who developed bilateral subdural hematomas following VPS. Surgical intervention was successful. Methods: A systematic review was conducted on PubMed (2014-2024), focusing on the incidence, risk factors, and clinical management strategies. Results: Analysis highlighted key factors such as surgical technique, presence of coagulopathies, and early diagnosis through CT/MRI as critical for achieving favorable outcomes. Discussion: Patient-related factors, including advanced age and anticoagulant use, significantly increase risk. Preventive strategies and timely interventions can enhance clinical results. Conclusion: Subdural hematomas are serious complications following VPS surgery. Early diagnosis and appropriate clinical management are essential.
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1Universidade Nove de Julho, São Paulo, SP, Brasil
2Hospital Mandaqui, São Paulo, SP, Brasil
3Instituto Tratar, São Paulo, SP, Brasil
Received Jan 13, 2025
Corrected Mar 14, 2025
Accepted Mar 31, 2025
