Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
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Case Reports
Symptomatic pleural effusion without intrathoracic migration of ventriculoperitoneal shunt catheter.
Symptomatic pleural effusion following ventriculoperitoneal (VP) shunt insertion is very rare. The patient was an 8-year-old girl who had VP shunt for hydrocephalus as a result of aqueductal stenosis. Six weeks after surgery, she presented with headache, vomiting and drowsiness. She developed respiratory distress with pain in the right lower chest region and right hypochondrium on admission. ⋯ Shunt review without thoracocentesis or thoracostomy is an effective treatment of symptomatic hydrothorax following VP shunt, especially when there is no intrathoracic shunt migration.