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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleAdult Brain

Intracranial Perishunt Catheter Fluid Collections with Edema, a Sign of Shunt Malfunction: Correlation of CT/MRI and Nuclear Medicine Findings

H.A. Kale, A. Muthukrishnan, S.V. Hegde and V. Agarwal
American Journal of Neuroradiology September 2017, 38 (9) 1754-1757; DOI: https://doi.org/10.3174/ajnr.A5291
H.A. Kale
aFrom the Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
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A. Muthukrishnan
aFrom the Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
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S.V. Hegde
aFrom the Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
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V. Agarwal
aFrom the Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
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    Fig 1.

    A, CT shows a fluid collection in the right frontal lobe along the tract of a VP shunt with surrounding edema. B, NM scan shows a focal accumulation of tracer in a right frontal cyst. C, NM scan shows normal transit of the radiotracer to the peritoneum.

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    Fig 2.

    A, MR imaging shows a cyst in the right frontal region. B, NM scan shows focal accumulation of the tracer in a right frontal cyst.

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    Fig 3.

    A, MR imaging shows a cyst in the right frontal region with surrounding edema. B, NM scan shows delayed passage of radiotracer to the peritoneum. C, NM scan shows focal accumulation of the tracer in a right frontal cyst.

Tables

  • Figures
  • Patient demographics

    Total No. of patients6
    Age range (yr); sex (M:F)24–46; 4:2
    Indication for shunt placement (No.)
        Pseudotumor cerebri4
        Chiari I malformation1
        Postoperative pseudomeningocele1
    Presenting symptoms prior to shunt replacement (No.)
         Headache5
        Abdominal pain1
    Time to development of cyst after surgery16 days to 5 years
    Site of shunt catheter obstruction (No.)
        Proximal3
        Proximal and distal3
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American Journal of Neuroradiology: 38 (9)
American Journal of Neuroradiology
Vol. 38, Issue 9
1 Sep 2017
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Cite this article
H.A. Kale, A. Muthukrishnan, S.V. Hegde, V. Agarwal
Intracranial Perishunt Catheter Fluid Collections with Edema, a Sign of Shunt Malfunction: Correlation of CT/MRI and Nuclear Medicine Findings
American Journal of Neuroradiology Sep 2017, 38 (9) 1754-1757; DOI: 10.3174/ajnr.A5291

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Intracranial Perishunt Catheter Fluid Collections with Edema, a Sign of Shunt Malfunction: Correlation of CT/MRI and Nuclear Medicine Findings
H.A. Kale, A. Muthukrishnan, S.V. Hegde, V. Agarwal
American Journal of Neuroradiology Sep 2017, 38 (9) 1754-1757; DOI: 10.3174/ajnr.A5291
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