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Ventriculo-Peritoneal Shunt

Last Updated: November 16, 2019

Introduction

The placement of a ventriculoperitoneal (VP) shunt requires meticulous planning and attention to detail. This chapter provides a review of the technique for placing a VP shunt. This procedure is indicated primarily for the treatment of primary or secondary hydrocephalus in adults and children.

 Preoperative Planning

The diagnosis of hydrocephalus is reasonably straightforward in most patients. Patients with acute hydrocephalus experience classic symptoms (headaches, vomiting, and mental status changes) and signs (up-gaze palsy, declining mental status, and bradycardia) of elevated intracranial pressure.

Other patients might have more subtle considerations for cerebrospinal fluid (CSF) diversion. A variety of protocols exist for patients suspected to have normal-pressure hy...