VP shunt disconnection
Altered mental status and vomiting in a patient with history of hydrocephalus and VP shunt in place.
Shunt series AP skull, AP cervical spine, AP chest and AP abdomen
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There is no connection between the ventricular shunt in the head and the shunt tubing in the lower neck. The rest of the shunt tubing in the chest and abdomen is intact.
The shunt series in this patient demonstrate a VP shunt disconnection at the level of the lower neck, best appreciated on the AP cervical spine view.