Neurosurgical shunt pathway

Objectives

Pathway for the investigation and management of a malfunctioned neurosurgical shunt.

Scope

Children referred with a queried malfunctioned neurosurgical shunt.

Audience

Neurosurgical team, including ward based medical and nursing staff.

PATHWAY FOR MANAGEMENT OF PATIENTS WITH VP SHUNT

Symptoms of possible shunt malfunction include: headache, vomiting, blurred vision, drowsiness and episodes of loss of consciousness.

Signs of possible shunt malfunction include: decreased GCS, papilloedema, loss of upward gaze and bulging fontanelle (in infants).