J Anesth Perioper Med. 2018;5(5):267-271. https://doi.org/10.24015/ebcmed.japm.2018.0092

Importance of Preoperative Evaluation in the Diagnosis of Ventriculoperitoneal Shunt Malfunction in an Infant with Hydrocephalus

Paul M. Nowak1, Irim Salik2, Jared B. Cooper3, Michael Jacoby2, and Samuel M. Barst2

From the 1Department of Anesthesiology, 2Department of Pediatric Anesthesiology, 3Department of Neurosurgery, Westchester Medical Center, Pleasantville, NY, USA.

Correspondence to Dr. Paul M. Nowak at paul.nowak@wmchealth.org.

EBCMED ID: ebcmed.japm.2018.0092 DOI: 10.24015/ebcmed.japm.2018.0092


Hydrocephalus is a commonly encountered condition in the pediatric population, characterized by impaired circulation of cerebrospinal fluid (CSF), or rarely, overproduction. Treatment of hydrocephalus consists of CSF diversion via an endoscopic third ventriculostomy or by the creation of a shunt. We present the case of a 7-month old female with a history of ventriculoperitoneal (VP) shunt placement, who was found to have symptoms of elevated intracranial pressure (ICP) upon presentation for eye exam under anesthesia. The present case details the importance of the anesthesiologist in the identification of VP shunt malfunction in an infant during a preoperative assessment to avoid potential neurologic injury.

Article Type
Case Report

Declaration of Interests
The authors declare no conflicts of interest.

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