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.
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