ventrikuloperitonealer Shunt Komplikationen

Intracranial

hypotension • Chronic intracranial hypotension (due to overshunting) - Ganzer Fall bei Radiopaedia

Toddler with

increasing sommulenceAP radiograph of the skull shows a discontinuity between the tip of the VP shunt and the rest of the VP shunt. Axial, coronal, and sagittal CT without contrast of the brain shows marked hydrocephalus with transependymal flow of cerebrospinal fluid.The diagnosis was VP shunt malfunction due to shunt discontinuity.

Toddler with

increased fussinessAP and lateral radiographs of the skull shows migration of the VP shunt catheter tip out of its right-sided burr hole in the skull.The diagnosis was VP shunt malfunction due to migration of the catheter tip out of the skull.

Preschooler

with 2 weeks of abdominal distensionAP and lateral radiographs of the abdomen show the VP shunt to be coiled upon itself and there is a suggestion of a retrogastric mass on the lateral view. Transverse US of the left upper quadrant of the abdomen shows a large cystic structure with the VP shunt tip within it.The diagnosis was VP shunt malfunction due to CSFoma.

School ager

with headachesAP and lateral radiographs of the skull show a kink in the VP shunt in the middle of the neck.The diagnosis was VP shunt malfunction due to kinking of the shunt.

Preschooler

with a new palpable prominence over the region of the VP shunt in the neckAP and lateral radiographs of the skull and an AP radiograph of the abdomen shows a discontinuity between the reservoir of the VP shunt in the neck and the remainder of the VP shunt in the abdomen.The diagnosis was VP shunt malfunction due to shunt discontinuity.

Ventriculoperitoneal

shunt complications: a local study at Qena University Hospital: a retrospective study. a Plain X-ray AP view on the skull and upper chest of a 17-year-male patient showing a fracture of distal tube of right VP shunt at the neck region (b arrow). b Plain X-rays AP view on the pelvis migrated disconnected distal catheter (c arrow)

Ventriculoperitoneal

shunt complications: a local study at Qena University Hospital: a retrospective study. Clinical presentations of shunt complications

Ventriculoperitoneal

shunt complications: a local study at Qena University Hospital: a retrospective study. CT brain axial view of a 16-month-old female patient showing left-sided VP shunt causing picture of ventriculitis

Ventriculoperitoneal

shunt complications: a local study at Qena University Hospital: a retrospective study. a Plain CT brain of an 18-month-old infant showing bilateral chronic subdural hematoma due to right-sided VP shunt overdrainage. b Plain CT brain of a 1-year-old infant showing right-sided chronic subdural hematoma due to right-sided VP shunt overdrainage

Ventriculoperitoneal

shunt complications: a local study at Qena University Hospital: a retrospective study. a CT abdomen axial view of a 13-year-old male patient showing right hypochondrial cyst (a arrow). b Abdominal ultrasonography done for the same patient, and right hypochondrial cyst was found (b arrow). c Ultrasonic-guided aspiration was done from this cyst, and the aspirate was clear CSF

Spontaneous

trans-anal extrusion of caudally migrated ventriculo-peritoneal shunt tip in a child: a case report. a Digital X-ray of whole abdomen postero-anterior view in erect posture shows expulsion of radio-opaque distal catheter tip through the anus into the exterior without any pneumoperitoneum. b NCCT scan shows the cranial catheter tip in the lateral ventricle of the brain

Hemorrhagic

abdominal pseudocyst following ventriculoperitoneal shunt: a case report. a Abdominal CT demonstrated a large cyst comprising a collection of homogeneous iso-density fluid in the abdominal cavity with displacement of the bowel loops to the posterior part. b The distal segment of the ventriculoperitoneal shunt catheter was located within the cystic mass with clear margins. The cyst and the shunt catheter were indicated by white arrows

Liver

abscesses associated with ventriculoperitoneal shunt infection: A rare complication. Coronal portovenous CECT image shows a collection indenting segment V of liver with shunt in situ. Shunt is also seen within the peritoneal cavity.

Liver

abscesses associated with ventriculoperitoneal shunt infection: A rare complication. Axial venous phase image shows VP shunt within collections in segment VI of liver.

Infant with a

VP shunt and decreased activity for the last few days. Lateral radiograph of the skull obtained after VP shunt placement 3 months ago (above) shows all of the parts of the VP shunt to be connected together. Current lateral radiograph of the skull (below) shows an increasing space between the superior portion of the VP shunt and the reservoir beneath it, thus the superior part of the VP shunt is disconnected from the reservoir.The diagnosis was ventriculoperitoneal shunt discontinuity.