Migrated VP shunt tips

Case contributed by Dr Peter Zuidewind

Presentation

Known with congenital hydrocepahlus and previous VP shunt insertion. Presented with swelling at the surgical site for 3 months. Not tender.

Patient Data

Age: 3 years
Gender: Female
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Both ends (ventricular and peritoneal) are noted to be present in a cystic space in the right neck. The shunt tubing is coiled in the subcutaneous tissues of the scalp and in the lateral ventricles.

Hydrocephalus is present intracranially with features suggestive of holoprosencephaly and a left frontal subdural collection.

Case Discussion

Ventriculoperitoneal (VP) shunt placement is a common procedure performed by neurosurgeons, especially in the context of congenital hydrocephalus. Occasionally VP shunts can malfunction in bizarre ways.

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