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Radionuclide shuntogram is important in the evaluation of cerebrospinal fluid shunt complications such as mechanical failure, malpositioning, pseudocyst, or overdrainage. Bermo et al present a case of congenital hydrocephalus and posterior fossa cyst with multiple shunt procedures and revisions with breakage of the proximal tube of the ventriculoperitoneal shunt but preserved CSF drainage through the patent fibrous tract. Careful correlation with SPECT/CT images helped confirm the breakage and exclude CSF leak outside of the tract, which was suspected on planar images 1).

Bermo M, Leung AS, Matesan M. A Case of Discontinued Proximal Limb of a Ventriculoperitoneal Shunt With Patent Fibrous Tract. Clin Nucl Med. 2016 Feb 24. [Epub ahead of print] PubMed PMID: 26914568.
shuntogram.txt · Last modified: 2016/03/22 11:42 (external edit)