Atypical Presentations of Ventriculoperitoneal Shunt Malfunction: A Case Series.
Khushboo S Hatekar, Prajwal Rao, Satish Nirhale et al.
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Case in brief
The report describes patients with hydrocephalus and ventriculoperitoneal shunts who presented with atypical symptoms. The cases involved shunt complications including shunt malformation, intracranial hypotension, non-compliant ventricles, and slit-like ventricles. Clinical findings and radiological appearances did not align, making diagnosis and management challenging. The authors emphasize that assessment required careful clinical evaluation alongside multiple investigations; the abstract does not provide individual case details or outcomes.
What made this case unusual
The key diagnostic challenge was clinical–radiological dissociation: atypical symptoms occurred despite imaging that did not straightforwardly explain the clinical picture.
Diagnostic / clinical pearl
In a shunted patient with atypical symptoms, do not rely on imaging alone; integrate meticulous clinical assessment with appropriate investigations when evaluating possible shunt complications.