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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Answer:
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4. Fracture of shunt
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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
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