Presentation
Neurological impairment
Patient Data
Age: 11 years
Gender: Female
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Intra-axial VP shunt is noted with its tip located in the anteroinferior region of the left frontal lobe.
Case Discussion
The features are compatible with Chiari II malformation.
VP shunt was applied to the patient, however followup MRI showed malpositioned VP shunt at the anteroinferior region of left frontal lobe with persistent tri-ventricular hydrocephalus.
Ultrasound was performed for the patient showing bilateral hydronephrosis and hydroureter with trabeculated urinary bladder. These findings could be secondary to neurogenic bladder.
This case is also contributed by Dr. Mohammad Tahir Aien