Onset of symptomatic hydrocephalus requiring emergency cerebrospinal fluid diversion following high-voltage electrical burn injury

Case report

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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.
Article Information

Contributor Notes

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: lackerma@iupui.edu.Please include this information when citing this paper: published online August 14, 2009; DOI: 10.3171/2009.7.JNS09578.
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