Wellington Case Report. Post VP shunt revision

                                                                                                                 6th February, 2023

 

MEDICAL REPORT

I.Z, 28YEARS, MALE,

\ WCA/1570/2016

 

Diagnosis- Post VP shunt revision

Management Plan- Shunt series and counseling.

 

One month post shunt revision walked in by himself and complains of discomfort, pain and stiffness on right side of neck. Recall that he had a shunt revision (December 2022) on account of disconnection of proximal from distal end of VP shunt near the root of the neck with resultant formation of pseudo – meningocele.  He has recalled that 6yrs earlier he suffered visual failure which was attributed to optic neuritis / IIH and  required initial lumbar drain insertion and subsequently converted to shunt. He improved symptomatically with his vision and general wellbeing until recent December 2022.

Wound is healed both cervical and abdominal scar.

 

Management Plan:

·         To do shunt series.

·         X-ray of neck, head, and chest abdomen.

·         CT scan Brain.

·         Review with investigation result.

 

CT with Shunt Series – shows well positioned ventricular catheter and shunt traversing head, neck, chest, and well positioned in the abdominal cavity.

 

Plan:

·         Reassure patient that everything is fine

·         To see in 12months time ( 06/02/2024).

 

 

Please revert, if need be, for further clarification

 

 

Yours Sincerely,

 

 

 

 

 

Dr. Halima Ibrahim

Team for wellington clinics.

 

 

04 Apr, 2023
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