Visual loss as the manifesting symptom of ventriculoperitoneal shunt malfunction.

Abstract:

PURPOSE:To treat a 30-year-old man with a ventriculoperitoneal shunt who had progressive visual loss. METHODS:The patient underwent computed tomographic and magnetic resonance imaging scans and ocular examination. RESULTS:He was diagnosed with ventriculoperitoneal shunt failure despite the lack of ventriculomegaly on computed tomographic scan of the head and the lack of papilledema. The patient eventually underwent ventriculoperitoneal shunt revision, but visual function did not improve. CONCLUSIONS:Loss of visual acuity or visual field, or both, may be the initial and only symptom of ventriculoperitoneal shunt malfunction. Shunt failure may occur without other features of increased intracranial pressure or ventriculomegaly on neuroimaging studies.

journal_name

Am J Ophthalmol

authors

Lee AG

doi

10.1016/s0002-9394(14)71980-4

subject

Has Abstract

pub_date

1996-07-01 00:00:00

pages

127-9

issue

1

eissn

0002-9394

issn

1879-1891

pii

S0002-9394(14)71980-4

journal_volume

122

pub_type

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