VP shunts
Ventriculo-peritoneal shunts
indication for insertion
Raised ICP in context of obstruction of outflow or decreased reabsorption of Cerebrospinal fluid
investigations
Any potential shunt problem →
- VP shunt series = AP and lateral cranial XRs, AP chest and AP abdomen
- CT head - ventricular abnormalities, haemorrhage, infection
- CT abdomen?
complications, i.e. presentations to ED
- slit ventricle syndrome (over-drainage of one side)
- kinking
- infection
- risk factors: gastrostomy tube, post op CSF leak, previous infections
- usually from skin
- displacement
- fracture
- disconnection
- pleural effusion, intra-abdominal CSF pseudocyst