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Pathway for the investigation and management of a malfunctioned neurosurgical shunt.
Children referred with a queried malfunctioned neurosurgical shunt.
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).
Last reviewed: 01 October 2020
Next review: 31 October 2023
Author(s): Emer Campbell