Epidural Hematoma Following Ventriculoperitoneal Shunt Revision in Open-Lip Schizencephaly; Case Report

Schizencephaly is a rare congenital neuronal migration disorder characterized by clefts in the cerebral hemispheres. While hydrocephalus is not a universal feature, it can occur, particularly in open-lip schizencephaly, necessitating ventriculoperitoneal (VP) shunt placement. Epidural hematoma (EDH) is an uncommon but serious complication following VP shunt surgery, especially revision procedures. We present the case of a 4-year-old girl with bilateral open-lip schizencephaly and a history of VP shunt placement who developed a large EDH requiring surgical evacuation following a shunt revision. This report highlights the diagnostic and management challenges in such complex cases and discusses the potential mechanisms of post-shunt EDH formation.