Run Time: 1:56
Author: Dr. Iverson
- Placement of a VP shunt is associated with premature delivery, hydrocephalus, or some other kind of injury as a means of draining excess CSF
- A malfunctioning VP shunt presents with vomiting, headache, altered mental status
- Workup includes the “shunt series”: xrays, head CT/rapid MRI
- In rapid MRI, need to take into consideration whether the VP shunt is programmable because the MRI could erase the programming
- Special attention needs to be given to patients that present with increased ICP. You can give these patients 3% saline as a bridging measure but they need to be taken to the OR as soon as possible.