Case of the Week: June 7-June 14, 2012

20 month old with vomiting

(Click for a larger image.)

Case Details

The second shunt series done on 6/5/12 shows widening of coronal and sagittal sutures.


Diagnosis: Shunt Malfunction with Sutural Diastasis

The follow up CT showed increased size of the ventricles and patient underwent shunt revision. 

Complications of VP shunts:





50% fail in first 2 years and 80% fail by 10 years.

Take Home Messages:

Comparison with baseline studies crucial.

Fluid tracking along shunt may be only sign of obstruction, even if normal or unchanged ventricles.

Correct answers by users

VCU Resident
Radiology Pediatrics
  • Joseph Eason
  • Ali Asghar Aghajani AhmadiIran
  • Mohammad AL -DrihiSyria
  • Watfa Al DhaheriUnited Arab Emirates
  • Taha AlamBangladesh
  • Marwan AlchamiSaudi Arabia
  • Muthana AlmutawalyIraq
  • Ali AttiaEgypt
  • Louise AugerCanada
  • Monika BagadeIndia
  • Bakhtiar BakhshiTurkey
  • Matt ChildreyUnited States of America
  • Mohammad DrihiSyria
  • Salim ElzawamLibya
  • Omar HassanienEgypt
  • Osama IbrahimEgypt
  • Ramazan JafariIran
  • Sarwanand KhetpalPakistan
  • Abirami MahadevanIndia
  • Naganathan ManiUnited States of America
  • Amr NazihEgypt
  • Wael NemattallaEgypt
  • Robert PalmerUnited States of America
  • Mashuri RasyidIndonesia
  • Nitin RewatkarIndia
    VCU Department of Pediatric Radiology Virginia Commonwealth University VCU Medical Center