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A 15-year-old boy presented with intermittent headaches and a history of ventriculoperitoneal (VP) shunt that was inserted in infancy but never revised.

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Presentation on theme: "A 15-year-old boy presented with intermittent headaches and a history of ventriculoperitoneal (VP) shunt that was inserted in infancy but never revised."— Presentation transcript:

1 A 15-year-old boy presented with intermittent headaches and a history of ventriculoperitoneal (VP) shunt that was inserted in infancy but never revised. Shunt series was obtained. Lateral view of the skull demonstrates microcephaly, fusion of all of the sutures, and a copper-beaten appearance of the skull (black arrow), compatible with chronic hydrocephalus. VP shunt catheter (white arrows) is noted over the parieto-occipital region (A). Frontal view of the chest shows VP shunt catheter traversing the right hemithorax. The catheter is intact (B). Frontal view of the abdomen shows VP shunt catheter coiled in the pelvis. The catheter is intact (C). (Photo contributor: John Amodio, MD.) Source: Chapter 13. Neurology, Atlas of Pediatric Emergency Medicine, 2e Citation: Shah BR, Lucchesi M, Amodio J, Silverberg M. Atlas of Pediatric Emergency Medicine, 2e; 2013 Available at: Accessed: December 16, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved

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