Vp Shunt Malfunction Treatment
Insertion of a csf temporary diversion shunt external ventricular drain or permanent diversion shunt vp shunt the main treatment modality endoscopic third ventriculostomy internal diversion via perforating the floor of the third ventricle allowing csf to flow from the 3rd ventricle directly to the cortical subarachnoid space.
Vp shunt malfunction treatment. 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. After the infected shunt is removed an external ventricular drain evd must be placed while intravenous antibiotics are administered. This is the largest series of vp shunt infections in adults reported to date.
Vp shunt removal particularly tssr when the patient is shunt dependent remains the optimal choice of treatment and does not increase morbidity. Treatment of shunt infections is inevitably a lengthy process that involves week to month long admissions in the hospital. Ap radiograph of the skull shows a discontinuity between the tip of the vp shunt and the rest of the vp shunt.