UNLABELLED Enterococci are an uncommon cause of CNS infection. A 20 month-old boy, diagnosed with hydrocephalus with ventriculoperitoneal shunt and history of lengthy hospitalization and use of wide spectrum antibiotics, was admitted to the pediatric intensive care unit diagnosed with ventriculitis. On the 14th day of empirical antibiotic therapy (vancomycin and meropenem) the child presented f...

Cerebrospinal fluid over-drainage is a common complication of ventriculoperitoneal devices. In terms of haemorrhage, subdural haematomas are usually more frequent lesions than epidural hematomas, which, more rarely, may also be seen after ventricular shunt procedures and may lead to rapid neurological decline and even death unless a surgical procedure can be promptly performed. This study repor...

To cite: Shahizon AMM, Hanafiah M, Hing EY, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2013-200609 DESCRIPTION Children with hydrocephalus are commonly treated with a ventriculoperitoneal (VP) shunt for diversion of CSF. Unfortunately, complications arising from VP shunting are not uncommon. Apart from shunt blockage and infection, it may become disco...

Chronic calcified/ossified epidural hematoma is an uncommon complication of ventricular shunt surgery. There are only 4 cases related to valve-regulated shunt operations in the literature. It may be seen especially in young patients with chronic hydrocephalus, probably due to craniocerebral disproportion. The precise mechanism of the calcification or ossification of the hematoma is not known, h...

Shunt infection is the most common and dreaded complication in patients with hydrocephalus. For the purpose of reducing the high morbidity and mortality, how to prevent is a vital step. A retrospective analysis of 384 CSF cerebrospinal fluid (CSF) shunt procedures was undertaken from 2006 to 2010 in our neurosurgery department. Infection diagnosis was established by subjecting the CSF to bioche...

The placement of a percutaneous endoscopic gastrostomy (PEG) in a patient with a pre-existing ventriculoperitoneal shunt is generally regarded as safe. A critical but often overlooked technical consideration is confirmation of the course of the distal shunt tube prior to PEG insertion. We present the case of a 4-month-old male infant with shunted hydrocephalus who experienced shunt malfunction ...

We describe the adult radiographic shuntogram, a simple method to evaluate the function and patency of a ventriculoperitoneal or ventriculoatrial shunt. The procedure involves placing contrast material into the valve of a shunt system and following the flow for appropriate clearing of contrast agent from the shunt tubing. Twenty-three studies were obtained in 15 patients in whom shunt malfuncti...

Hydrocephalus has been observed as one of the most common pediatric neurosurgical conditions [1]. Due to progressive nature, if not treated in time, hydrocephalus can lead to significant disability and mortality [2]. Globally hydrocephalus is most commonly and traditionally treated with cerebrospinal fluid diversion with ventriculoperitoneal (VP) shunt insertion [3]. Despite its effectiveness V...

AIM We set out to investigate the optimal timing for shunt placement in patients with hydrocephalus after decompressive craniectomy (DC). MATERIAL AND METHODS We studied 63 consecutive patients that underwent DC because of traumatic brain injury, middle cerebral artery infarct or intracerebral hemorrhage. Hydrocephalus was diagnosed in 23/63 patients. The 23 patients were divided into two gro...

Objective: To analyze the outcome of ventriculoperitoneal (VP) shunts in terms improvement and complications.
 Material Methods: This retrospective observational study is done MTI Mardan medical complex Prime teaching hospital from September 2017 to March 2020. The record all patients who underwent was reviewed for complications. Patients undergoing shunt normal pressure hydrocephalus were...