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Case of the Week 385



What is the most likely diagnosis?

  • 49 year-old with increasing headache and lethargy



Frontal radiograph of the cervical spine

1. Tracheal stenosis
2. Rotatory subluxation of C5
3. Dislocation of the clavicle
4. Fracture of shunt
5. Carotid artery dissection


Additional Images - None

 

Additional Images

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None


Answer:

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4. Fracture of shunt

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More (Click Discussion Tab)


Shunt Fractures and Other Complications


General Considerations 

  • Ventriculo-peritoneal (VP) shunts are used to relieve hydrocephalus
  • Complication rates have been reported as high as 81% after 12 years
  • Complications include
    • Infections
    • Shunt occlusion
    • Overdrainage

More ...


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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.