Vp Shunt Kink

She began to filled collar technique 2 was used for the operative po speak at 4 years.

Vp shunt kink. Most of the time a partial or complete obstruction of a vp shunt based on a shunt tap or surgical exploration is the etiology of the new brainstem findings. Plain radiograph shows a sharp kink in the distal shunt arrow with the tip arrowhead folded back 180 degrees. Fluid csf shunting or ventriculoperitoneal shunt placement 2 3 6 the exact genetic defect is not known but it is known to be associated with other genetic diseases like achondroplasia klippel feil syndrome and hadju cheney syndrome.

The surgeon must first and foremost check to see if the ventricular peritoneal vp shunt apparatus is functioning. Hemorrhage within the meninges or the associated potential spaces including epidural hematoma subdural hematoma and subarachnoid hemorrhage is covered in detail in other artic. Subdural hematomas have been re ported in people and dogs after ventriculoperitoneal shunt placement 12 19 it is thought to result from a rapid decrease in intracranial pressure because of overdrainage of csf figure 2 intraoperative image of the kinked shunt.

This condition has skull dural brain spinal and spinal cord manifestations including downward displacement of the medulla fourth ventricle. After administration of a bowel enema the headaches and nausea resolved over the next few hours and the posttreatment ct showed significant decrease in ventricular size. Although few patients actually exhibit symptoms related directly to the infection itself.

Intracranial hemorrhage ie the pathological accumulation of blood within the cranial vault may occur within brain parenchyma or the surrounding meningeal spaces. Surgical technique a vp shunt was inserted but the head circumference con tinued to increase reaching 74 cm at 5 years of age. The chiari type ii malformation arnold chiari malformation is a complex congenital malformation of the brain nearly always associated with myelomeningocele see the images below and the most common serious malformation of the posterior fossa.

Kosnik figure 9 distal vp shunt kink. Not surprisingly our patient was also misdiagnosed despite repeated clinic visits and. Shunt survey revealed a convoluted course and kink in the distal peritoneal catheter.

Vp shunting is a surgical procedure that primarily treats a condition called. The medulla then buckles dorsally and forms a medullary kink.