Ventriculoperitoneal shunt dysfunction in a patient presenting with neurogenic pulmonary edema

Case report

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✓ The authors report on a patient with dysfunction of a ventriculoperitoneal shunt who presented with two episodes of neurogenic pulmonary edema within the space of a few months. The edema resolved on correction of the shunt dysfunction. Because neurogenic pulmonary edema may be a rare consequence of shunt dysfunction, it is important to recognize this unusual association and provide appropriate diagnostic measures and treatment.

Abbreviations used in this paper:CSF = cerebrospinal fluid; CT = computed tomography; ICP = intracranial pressure; VP = ventriculoperitoneal.

Article Information

Address reprint requests to: Joachim K. Krauss, M.D., Department of Neurosurgery, Medical School Hannover, Carl-Neuberg Strasse 1, D-30625 Hannover, Germany. email:

© AANS, except where prohibited by US copyright law.



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    Left: Axial CT scan obtained at the patient's first admission, revealing hydrocephalus. Right: Postoperative CT scan obtained 2 months after the second shunt revision surgery, demonstrating marked decrease of the hydrocephalus.



Ell SR: Neurogenic pulmonary edema. A review of the literature and a perspective. Invest Radiol 26:4995061991


Findler GCotev S: Neurogenic pulmonary edema associated with a colloid cyst in the third ventricle. Case report. J Neurosurg 52:3953981980


Fontes RBAguiar PHZanetti MVAndrade FMandel MTeixeira MJ: Acute neurogenic pulmonary edema: case reports and literature review. J Neurosurg Anesthesiol 15:1441502003


Fredberg UBotker HERomer FK: Acute neurogenic pulmonary oedema following generalized tonic clonic seizure. A case report and review of the literature. Eur Heart J 9:9339361988


Friedman JAPichelmann MAPiepgras DGMcIver JIToussaint LG IIIMcClelland RL: Pulmonary complications of aneurysmal subarachnoid hemorrhage. Neurosurgery 52:102510322003


Goncalves VSilva-Carvalho LRocha I: Cerebellar haemorrhage as a cause of neurogenic pulmonary edema—case report. Cerebellum 4:2462492005


Gupta YKChugh AKacker VMehta VSTandon PN: Development of neurogenic pulmonary edema at different grades of intracranial pressure in cats. Indian J Physiol Pharmacol 42:71801998


Pender ESPollack CV Jr: Neurogenic pulmonary edema: case reports and review. J Emerg Med 10:45511992


Rickert CHGrabellus FVarchmin-Schultheiss KStoss HPaulus W: Sudden unexpected death in young adults with chronic hydrocephalus. Int J Legal Med 114:3313372001


Rogers FBShackford SRTrevisani GTDavis JWMackersie RCHoyt DB: Neurogenic pulmonary edema in fatal and nonfatal head injuries. J Trauma 39:8608681995


Simon RP: Neurogenic pulmonary edema. Neurol Clin 11:3093231993


Theodore JRobin ED: Pathogenesis of neurogenic pulmonary oedema. Lancet 2:7497511975


Vespa PMBleck TP: Neurogenic pulmonary edema and other mechanisms of impaired oxygenation after aneurysmal subarachnoid hemorrhage. Neurocrit Care 1:1571702004


Wagle VGHall AVoytek TSilberstein HUphoff DF: Aqueductal (pencil) glioma presenting as neurogenic pulmonary edema: a case report. Surg Neurol 34:4354381990


Walder BBrundler MATotsch MElia NMorel DR: Influence of the type and rate of subarachnoid fluid infusion on lethal neurogenic pulmonary edema in rats. J Neurosurg Anesthesiol 14:1942032002




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