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Updated: Oct 4, 2025

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
Transient ventriculoperitoneal shunt malfunction in a pediatric patient: An illustrative case
Michel Gustavo Mondragon-Soto1, Lior Elkaim2, Alexander G Weil3
1Department of Neurosurgery, Instituto Nacional de Neurologia y Neurocirugia, Mexico City, Mexico.
Background:
Ventriculoperitoneal shunt (VPS), the mainstay of the treatment for hydrocephalus, is associated with relatively high revision rates. Transient hydrocephalus due to intermittent VPS obstruction should be recognized as a cause of VPS malfunction. While transient VPS dysfunction is well-recognized complication, there is a relative paucity of well-documented cases in the literature.
Case Description:
We present the case of a 4-year-old boy with a history of vascular malformation and hydrocephalus secondary to intraventricular hemorrhage. The patient presented with transient, self-resolving hydrocephalus (without intervention), as documented by clinical and radiological findings.
Conclusion:
Transient hydrocephalus due to intermittent VPS dysfunction in children is a rare entity, but it should be suspected in certain patients with VPS presenting with transient or self-improving symptoms.
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