Objective: To analyze the outcome of ventriculoperitoneal (VP) shunts in terms improvement and complications.
 Material Methods: This retrospective observational study is done MTI Mardan medical complex Prime teaching hospital from September 2017 to March 2020. The record all patients who underwent was reviewed for complications. Patients undergoing shunt normal pressure hydrocephalus were...

ventriculoperitoneal (vp) shunt is one of the most common pediatric neurosurgical procedures. it has various complications that may have serious consequences such as shunt dysfunction, and unusual migration. although, migration of shunt catheter to bladder, heart, umbilicus, rectum, pulmonary artery, and stomach has been reported, migration to vagina is a rare one. in this report we present a 1...

A 15-month-old girl with hydrocephalus from an intraventricular hemorrhage presented to the emergency department with irritability, lethargy and vomiting. Our neurosurgery team had inserted a ventriculoperitoneal shunt 10 months earlier. Computed tomography of the patient’s brain showed enlarged ventricles relative to postoperative imaging from when she had been asymptomatic. The child was brou...

Proximal migration of the distal end of a ventriculoperitoneal shunt has been observed much more rarely than other numerous shunt-related complications. Subgaleal migration of the peritoneal end is one of the samples. In the preset report we have discussed a case of subgaleal migration of the peritoneal end detected as a result of the examinations performed for shunt dysfunction. There was vent...

Hydrocephalus is defined as an abnormal enlargement of the ventricles of the brain due to an excessive accumulation of cerebrospinal fluid (CSF) because of a disturbance of its flow, absorption and/or secretion. The usual method of CSF diversion is a ventriculo-peritoneal shunt. Complications of implanted shunt systems include mechanical failure, shunt pathway obstruction, infection, foreign bo...

Dear editor, Since the development of diffusion tensor tractography (DTT), which enables three-dimensional reconstruction of neural tracts, a few studies have reported that passage of a ventriculoperitoneal (VP) shunt caused injury of adjacent neural tracts. The Papez circuit, described by James Papez in 1937, is involved in memory function, particularly episodic memory. The thalamocingulate tr...

We describe a patient with an asymptomatic complete unroofed coronary sinus (CS) syndrome associated with the CS stenosis in the absence of a persistent left superior vena cava (SVC) as identified on coronary computed tomography angiography. There was a large defect between the CS and the left atrium (i.e. a large left-to-right shunt), but an unusual combination of the absence of a persistent l...

Ventriculoperitoneal (VP) shunt is one of the most common pediatric neurosurgical procedures. It has various complications that may have serious consequences such as shunt dysfunction, and unusual migration. Although, migration of shunt catheter to bladder, heart, umbilicus, rectum, pulmonary artery, and stomach has been reported, migration to vagina is a rare one.In this report we present a 16...

A 67-year-old woman presented with memory impairment and behavioral changes. Brain MRI indicated hepatic encephalopathy. Abdominal CT scans revealed an intrahepatic portosystemic venous shunt that consisted of two shunt tracts to the aneurysmal sac that communicated directly with the right hepatic vein. The large tract was successfully occluded by embolization using the newly available AMPLATZE...

We herein report the case of a patient who had paradoxical brain embolism owing to a pulmonary arteriovenous fistula (PAVF) who was diagnosed as having a right-to-left shunt by transcranial Doppler (TCD) with saline contrast medium. TCD with saline contrast medium failed to detect any high-intensity transient signals immediately after catheter embolization of the PAVF. Thus, TCD with saline con...