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: krauss.joachim@mh-hannover.de.

© 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.

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