Abnormal VP shunt series

Case contributed by Dr Yusra Sheikh

Presentation

Background of hydrocephalus, presented with vomiting. Has a VP shunt in situ.

Patient Data

Age: 22 years
Gender: Female
X-ray

The VP shunt on the right side of the neck, seen best on the lateral neck/skull and AP neck views appears discontinuous. The shunt is not seen on the chest or abdominal wall with the remainder of the tubing is noted coiled in the abdomen.

Case Discussion

Shunt dysfunction (e.g. blockage, disconnection, kink) should always be suspected in patients who present with symptoms and signs of intracranial haemorrhage. If the initial shunt series is negative, CT should be considered to detect an occult break. 

PlayAdd to Share

Case information

rID: 47782
Case created: 2nd Sep 2016
Last edited: 3rd Sep 2016
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.