To cite: Thurlow PC, Somerville C, Rusnak WJ, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013201303 DESCRIPTION An asymptomatic middle-aged man presented for routine preoperative chest radiographs prior to the resection of a Masson’s tumour of the frontal sinus. The chest radiographs revealed a large anterior mediastinal mass (figure 1). A CTscan of th...

Fungal infection following placement of ventriculostomy or ventriculoperitoneal (VP) shunt is uncommon. We report the first case of Alternaria related central nervous system (CNS) shunt infection in a patient with CNS ependymoma manifesting as leptomeningitis and a spinal intradural mass. This case illustrates the diagnostic and management challenges.

A 1 year old Caucasian male born with an omphalocoele, malrotation of the large bowel, and Ladd's bands developed an E. coli wound infection and subsequent meningitis-ventriculitis which responded to antibiotic therapy. Aqueductal stenosis and obstructive hydrocephalus initially was treated with a ventriculoperitoneal shunt. After a routine diphtheria-pertussis-tetanus immunization, the child d...

In three male patients with long-standing Silastic ventriculoperitoneal shunts, a sleeve of dystrophic calcification surrounding the catheter at the thoracic inlet developed, visible on plain radiographs. Such calcification indicates degeneration and tethering of the shunt catheter. It was associated with shunt disconnection in two patients.

Spontaneous pneumocephalus following cerebrospinal fluid shunt is a rare complication. In most cases, the air enters in the intracranial cavity via a skull base defect. We report 2 cases of delayed tension pneumocephalus, secondary to ventriculoperitoneal shunt, and review the etiopathogenesis, prevention and treatment of this condition.

Spontaneous pneumocephalus following cerebrospinal fluid shunt is a rare complication. In most cases, the air enters in the intracranial cavity via a skull base defect. We report 2 cases of delayed tension pneumocephalus, secondary to ventriculoperitoneal shunt, and review the etiopathogenesis, prevention and treatment of this condition. © 2012 Sociedad Española de Neurocirugía. Published by El...

Percutaneous endoscopic gastrostomy tube placement is often performed in patients with a ventriculoperitoneal shunt and it has been accepted as a safe procedure. The authors report a case of a 50-year-old male who developed acute exacerbation of the hydrocephalus immediately after the percutaneous endoscopic gastrostomy tube placement without any signs of shunt infection, which has not been rep...

We report a histologic and PCR-confirmed case of symptomatic congenital toxoplasmosis in premature infant with optic nerve atrophy severe ventriculomegaly requiring ventriculoperitoneal shunt the absence cerebral calcifications. A significant risk factor acquisition this infection was mother’s consumption raw deer meat during pregnancy.

To cite: Shankar B, Narayanan R, Paruthikunnan SM, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2014-204404 DESCRIPTION A 1-year-old male child with type II Chiari malformation who underwent ventriculoperitoneal (VP) shunt placement 11 months ago presented with right scrotal swelling. Frontal radiograph of the chest and abdomen (figure 1) showed the shu...

We report six cases of perilymphatic fistula in patients who received ventriculoperitoneal shunts as part of their final mode of therapy. The last of our 6 patients actually received a ventriculoperitoneal shunt as her initial mode of therapy. All but one had benign intracranial hypertension. All six felt better (less disequilibrium, tinnitus, and pressure and occasional hearing improvement) af...