Shunt Failure

Last modified by Hussein Abdallah on 2025/05/26 00:17

FACTS

Punchline

headaches (positional), nausea/vomiting

if recent shunt: evaluate for leakage of CSF out of incisions

MRI FAST and Abdominal US for all shunt failure rule outs

Overdrainage: evaluate for subdural hematomes or extra-axial fluid collections, slit ventricles
Distal infection: Abdominal US to evaluate for psuedocyst (loculated CSF collection in abdomen)

[ ] optho c/s - eval for visual compromise/papilledema and establish baseline prior to treatment

[ ] revise shunt to higher pressure or flow-control w/ anti-siphon device

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Figure 1: Sea