Vp Shunt Malfunction
Hardware infection is the second most common cause of vps malfunction and this is a complication is.
Vp shunt malfunction. In va shunts blockage due to infection is rare and many months or years can go by before the infection becomes apparent. The knowledge of risk factors related to abdominal shunt failure is useful to avoid complications. During this time there will be tiredness irritability poor appetite various aches and pains skin rashes and other signs but all of these can be due to common disorders.
Shunt malfunction may be attributed to multiple causes including obstruction infection pseudocyst formation and bowel perforation. Based on clinical symptoms and confirmed ventricular dilatation on computed tomography the vps reservoir is punctured. Ventriculoperitoneal vp shunt complications include blockage and infection early and prompt detection of shunt dysfunction is vital as delay can lead to markedly raised intracranial pressure coning and death.
Cerebrospinal fluid diversionby way of ventriculoperitoneal shunt or other terminus is a commonly performed neurosurgical procedure but one that is fraught with high rates of failure. Vps obstruction which is most often occurs in the proximal catheter is the most common cause of vps malfunction. A tertiary referral single center algorithm for diagnosis of vps malfunction is proposed.
We analyze retrospectively 86 adults patients affected by obstructive and. Ventriculoperitoneal vp shunt is the most common neurosurgical procedure to treat obstructive and communicating hydrocephalus in children and adults but failure are frequent. If no cerebrospinal fluid is obtained ventricular catheter replacement is recommended.
Causes of vp shunt malfunction. Distal shunt malfunctions frequently accompany shunt infections. You must drain the csf slowly to prevent a ventricular bleed.
Up to one third of adult patients undergoing csf shunting will experience a shunt failure 1. Ap radiograph of the skull shows a discontinuity between the tip of the vp shunt and the rest of the vp shunt. Cases of ventriculoperitoneal shunt malfunction malposition misposition misplacement ap and lateral radiographs of the abdomen shows the distal portion of the vp shunt to be broken into multiple fragments.