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. 2025 Jan 1;28(1):137-139.
doi: 10.4103/aian.aian_621_24. Epub 2025 Jan 29.

Ventriculoperitoneal Shunt Overdrainage Manifesting as Rapidly Evolving Cognitive Decline - A Rare Complication

Pushkar Pazhani  1 , Saranya B Gomathy  1 , M S Gopalakrishnan  2 , Jayaram Saibaba  1 , Manoj Manyem  1 , Ramkumar Sugumaran  1 , Sunil K Narayan  1
Affiliations

Ventriculoperitoneal Shunt Overdrainage Manifesting as Rapidly Evolving Cognitive Decline - A Rare Complication

Pushkar Pazhani et al. Ann Indian Acad Neurol. .
No abstract available

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a) NCCT head showing hydrocephalus; (b) Hyperdense suprasellar mass causing obstructive hydrocephalus (c) Lesion shows peripheral coarse calcification. NCCT: Non-contrast computed tomography
Figure 2
Figure 2
(a) NCCT head showing obstructive hydrocephalus with right ventriculoperitoneal shunt; (b) Resolution of hydrocephalus after placing bilateral VP shunts. NCCT: Non-contrast computed tomography, VP: ventriculoperitoneal
Figure 3
Figure 3
(a) Post right frontal mini-craniotomy status-axial MRI brain FLAIR sequence showing a multiloculated solid cystic suprasellar mass with septations with compression of surrounding structures; (b and c) Axial FLAIR MRI brain showing collapsed slit like ventricles - bilateral VP shunts in situ. MRI: Magnetic resonance imaging, FLAIR: Fluid-attenuated inversion recovery, VP: ventriculoperitoneal
Figure 4
Figure 4
(a) Axial FLAIR MRI brain showing collapsed slit-like ventricles and bilateral caudate hyperintensities; (b) Coronal T2 weighted image showing bilateral caudate infarcts; (c) Axial T1 contrast MRI showing intense pachymeningeal enhancement; (d) Coronal T1 MRI showing pachymeningeal enhancement. MRI: Magnetic resonance imaging, FLAIR: Fluid-attenuated inversion recovery
See this image and copyright information in PMC

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