Ventriculoperitoneal (VP) Shunt-Associated Calcified Chronic Subdural Hematoma: Armored Brain Management With Shunt Revision

Calcified chronic subdural hematoma (CCSDH) or "armored brain" is a rare, late-stage complication that has been reported more often in children and young adults and may arise after ventriculoperitoneal (VP) shunting. We present a case of a 14-year-old male patient with cerebral palsy and a VP shunt presenting with intermittent headache. A non-contrast CT scan was consistent with bilateral CCSDH. The patient underwent shunt revision and remained asymptomatic during a follow-up period of two years. Through this case, we illustrate the importance of individualized management guided by clinical and imaging findings.