Reversible Vision Loss Due to Transependymal Oedema of the Optic Apparatus Secondary to Ventriculoperitoneal Shunt Malfunction

Kimberly Nguyen, Claudia M. Prospero Ponce, Aroucha Vickers, Andrew G. Lee

Research output: Contribution to journalArticle

Abstract

A 29-year-old male with a history of pilocytic astrocytoma status post-multiple ventriculoperitoneal shunt (VPS) revisions presented with vision loss, ocular motor deficits, and headaches. His shunt was revised but he experienced persistent vision loss despite resolution of his headaches and diplopia. Magnetic resonance imaging (MRI) of the head revealed hydrocephalus and T2 hyperintensity consistent with transependymal oedema surrounding the midbrain, pons, and optic apparatus. His shunt was again revised, but was complicated by an infection that required removal. He underwent an endoscopic third ventriculostomy and an external ventricular device was temporarily placed. Repeat MRI revealed marked improvement of the transependymal oedema and hydrocephalus. His vision returned to baseline and remained stable at 6-months follow-up.

Original languageEnglish (US)
Pages (from-to)197-200
Number of pages4
JournalNeuro-Ophthalmology
Volume44
Issue number3
DOIs
StateE-pub ahead of print - Feb 5 2019

Keywords

  • Ventriculoperitoneal shunt
  • reversible vision loss
  • transependymal oedema

ASJC Scopus subject areas

  • Ophthalmology
  • Clinical Neurology

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