Case Report

Importance of Preoperative Evaluation in the Diagnosis of Ventriculoperitoneal Shunt Malfunction in an Infant with Hydrocephalus

Paul M. Nowak , Irim Salik , Jared B. Cooper , Michael Jacoby , Samuel M. Barst
Department of Anesthesiology, Westchester Medical Center, Pleasantville, NY, USA, Department of Pediatric Anesthesiology, Westchester Medical Center, Pleasantville, NY, USA, Department of Neurosurgery, Westchester Medical Center, Pleasantville, NY, USA
J Anesth Perioper Med 2018; 5(5): 267- 271 . Published on Sep 28, 2018 . doi:10.24015/JAPM.2018.0092
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Abstract

Hydrocephalus is a commonly encountered condition in the pediatric population, characterized by impaired circulation of cerebrospinal fluid (CSF), or rarely, overproduction. Treatment of hydrocephalus consists of CSF diversion via an endoscopic third ventriculostomy or by the creation of a shunt. We present the case of a 7-month old female with a history of ventriculoperitoneal (VP) shunt placement, who was found to have symptoms of elevated intracranial pressure (ICP) upon presentation for eye exam under anesthesia. The present case details the importance of the anesthesiologist in the identification of VP shunt malfunction in an infant during a preoperative assessment to avoid potential neurologic injury. 

 

 

 

Citation: Paul M. Nowak, Irim Salik, Jared B. Cooper, Michael Jacoby, Samuel M. Barst. Importance of Preoperative Evaluation in the Diagnosis of Ventriculoperitoneal Shunt Malfunction in an Infant with Hydrocephalus. J Anesth Perioper Med 2018;5: 267- 271. doi10.24015/JAPM.2018.0092
 
This is an open-access article, published by Evidence Based Communications (EBC). This work is licensed under the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium or format for any lawful purpose. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
 

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