[Ventriculoperitoneal shunt dysfunction in children: various clinical presentations]. / Ventriculoperitoneale-shuntdisfunctie bij kinderen.
Ned Tijdschr Geneeskd
; 1662022 08 16.
Article
em Nl
| MEDLINE
| ID: mdl-36036683
ABSTRACT
The clinical presentation of a ventriculoperitoneal shunt (VP-shunt) dysfunction depends on whether the cranial sutures are still unfused, and on the cause and severity of the VP-shunt obstruction. A suspicion of a VP-shunt dysfunction is always reason to consult with a neurosurgeon. A patient with a suspected VP-shunt dysfunction that presents with elevated intracranial pressure should be urgently assessed at the emergency department of a neurosurgical center. Conclusions about whether the ventricular system is enlarged should be based on comparison between the imaging made to demonstrate the VP-shunt dysfunction and a reference scan of the brain, made when the patient was in a good clinical condition. In a patient with small ventricles, but clinical indications of elevated intracranial pressure, a VP-shunt dysfunction can't be ruled out. In that case fundoscopy may be very valuable to rule out papilledema.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Hipertensão Intracraniana
/
Hidrocefalia
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Child
/
Humans
Idioma:
Nl
Revista:
Ned Tijdschr Geneeskd
Ano de publicação:
2022
Tipo de documento:
Article