We describe a patient with sarcoid meningitis and hydrocephalus who improved rapidly after initiation of oral prednisone therapy, but who later decompensated acutely and required an emergency ventriculoperitoneal shunt. Hydrocephalus associated with neurosarcoidosis may progress despite steroid treatment, even when symptoms have improved. If hydrocephalus associated with neurosarcoidosis is tre...

Because of development of laparoscopic surgery and by knowing of its pathophysiological effects on organism, indications for laparoscopic surgery have become more extensive, so this method is today used for therapeutic and diagnostic procedures. Although ventriculoperitoneal shunt is not normally considered a contraindication for laparoscopic surgery, pneumoperitoneum is described as a cause of...

mor of patients in the 3rd decade of life. It is a metastatic disease that usually occurs via the cerebrospinal fluid (CSF), and on rare occasions, via a ventriculoperitoneal shunt (VP shunt). Extracranial hematogenous metastasis is, however, very rare and it usually follows multiple surgical interventions (1). We describe here a case of pineal germinoma with extracranial metastasis that occurr...

Migration of the distal catheters of ventriculoperitoneal (VP) shunt is a rare event. Here, we report an unusual case of a 5-month-old infant with post-hemorrhagic hydrocephalus, who developed right scrotum swelling soon after VP shunting. Plain abdominal x-ray showed the shunt tubing, which was twisted and kinked in its distal portion and coiled in the right scrotum. The infant was operated on...

Small bowel perforation is a rare complication of ventriculoperitoneal (VP) shunt placement. When seen, it most commonly affects the stomach or colon. We describe a case and image findings of an 8-year-old female who presented with sepsis and erosion of the VP shunt into the small bowel. The imaging findings were confirmed surgically. We also provide an overview of the current literature discus...

Purpose: Hydrocephalus, abnormal accumulation of CSF in the ventricles, is one most common diseases brain. Ventriculoperitoneal shunting commonest procedures for management hydrocephalus. Assessment and evaluation clinical outcome, following VP shunt, should be carried out to decrease rates complications this procedure. Clinical audit plays a vital role identifying developing effective methods ...

This report describes a new test of patency of the ventricular component of a ventriculoperitoneal shunt that precludes injection into the shunt reservoir. Preliminary clinical experience confirms that digital compression of the ventricular shunt reservoir (Cordis standard and pediatric reservoir), while occluding the shunt distal to the reservoir, generates microbubbles that increase the echog...

We report an unusual case where a two-month infant developed a simultaneous and spontaneous pneumocephalus and gross pneumoperitoneum along with progressive surgical emphysema after VP shunt procedure.

Placement of ventriculoperitoneal(VP) shunt is a worldwide accepted procedure for treatment of hydrocephalus. This procedure have various intra-abdominal complications, of which pseudocyst formation is a rare one. Common presentations of this complication are abdominal mass, abdominal pain, intestinal obstruction, and shunt dysfunction. In this paper, we report a case of 3 year-...

We report a case of HeartMate II(®) left ventricular assist device (LVAD) implantation as a destination therapy in a patient with a patent ventriculoperitoneal (VP) shunt after being suffered from subarachnoid hemorrhage. Because the patient's VP shunt was running through her right anterior chest and abdominal wall, a driveline exit site was selected in her left upper quadrant to avoid unnecess...