• Philipp Krauss, Marco Fritz-Naville, Luca Regli, and Lennart Henning Stieglitz.
• Department of Neurosurgery, University Hospital of Zurich, Zurich, Switzerland. Electronic address: Philipp.Krauss@usz.ch.
• World Neurosurg. 2018 Jan 1; 109: 372-376.

BackgroundSince the 1950s cerebrospinal fluid (CSF) shunt dependency has no longer been a contradiction to normal life, including sexuality and pregnancy in women, because of advances in the understanding of hydrocephalus and shunt technology. Although pregnancy in shunt-dependent women is rare, it causes uncertainty among treating physicians.Case DescriptionWe report the case of a 34-year-old pregnant woman with a ventriculoperitoneal shunt. Throughout her pregnancy she experienced progressive symptoms of CSF underdrainage without any signs of other pregnancy-related complications. After the delivery of a healthy infant, shunt resistance had to be readjusted to prepregnancy levels. A comprehensive review of the literature reports in English, listed in PubMed, is provided.ConclusionsConservative treatment of pregnancy-related functional underdrainage by consecutive valve pressure adjustment is possible, easy, and safe.Copyright © 2017 Elsevier Inc. All rights reserved.

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