VP-shunt dysfunction

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)