Ventriculoperitoneal shunt obstruction: Difference between revisions

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[[Category:Neuro]]

Revision as of 11:15, 20 July 2015

Background

  • Most common type of shunt malfunction
    • Usually occurs at proximal tubing, followed by distal tubing followed by valve chamber
  • Proximal obstructions usually occurs within first years of insertion
  • Distal obstruction usually occurs only with shunts in place for >2yr

Causes

  • Proximal obstruction
    • Tissue debris
    • Choroid plexus
    • Clot
    • Infection
    • Catheter-tip migration
    • Localized immune response to the tubing
  • Distal obstruction
    • Kinking or disconnection of the tube
    • Pseudocyst formation
    • Infection

Clinical Features

Differential Diagnosis

Ventriculoperitoneal shunt problems

Diagnosis

Management

Disposition

See Also

External Links

References