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Bilateral Proptosis in a Child-A Rare Manifestation of Ventriculoperitoneal Shunt Obstruction.
- Source :
-
Journal of pediatric intensive care [J Pediatr Intensive Care] 2020 Jul 29; Vol. 10 (4), pp. 311-316. Date of Electronic Publication: 2020 Jul 29 (Print Publication: 2021). - Publication Year :
- 2020
-
Abstract
- Ventriculoperitoneal shunt (VPS) obstruction may have a myriad of presentations. We reported a case of an 11-year-old girl presenting with acute, bilateral proptosis secondary to VPS obstruction. While neuroimaging was interpreted as unremarkable, fundoscopy revealed bilateral papilledema and lumbar puncture showed elevated intracranial pressure. Neurosurgical exploration demonstrated VPS valve obstruction and a new VPS was inserted. Postoperatively, she developed a recurrent extradural hematoma, which was initially evacuated and later managed conservatively. To our knowledge, this is the first report of bilateral proptosis secondary to VPS obstruction. This case highlights the value of key clinical findings and limitations of neuroimaging.<br />Competing Interests: Conflict of Interest None declared.<br /> (Thieme. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 2146-4618
- Volume :
- 10
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Journal of pediatric intensive care
- Publication Type :
- Report
- Accession number :
- 34745707
- Full Text :
- https://doi.org/10.1055/s-0040-1713677