High-voltage electrical injuries have been reported to cause a plethora of neurological complications including cognitive, motor, and sensory deficits in an immediate or delayed fashion. In this setting, new-onset symptomatic hydrocephalus requiring CSF shunt placement has not been described. The authors present the case of an 18-year-old man who sustained a high-voltage electrical injury with a calvarial contact point that required emergency CSF diversion within hours of injury and subsequently required placement of a lumboperitoneal shunt. Management of the open calvarial wound, which required rotational flap reconstruction, and the need for ongoing CSF diversion required care and a team approach.
Abbreviation used in this paper: ICP = intracranial pressure.
Address correspondence to: Laurie L. Ackerman, M.D., Department of Neurological Surgery, Indiana University School of Medicine, Riley Hospital for Children, 702 Barnhill Drive #1134, Indianapolis, Indiana 46202-5200. email:
email@example.com.Please include this information when citing this paper: published online August 14, 2009; DOI: 10.3171/2009.7.JNS09578.