Document Type

Article

Peer Reviewed

1

Publication Date

1-1-2017

NLM Title Abbreviation

Epilepsy Behav Case Rep

Journal/Book/Conference Title

Epilepsy & Behavior Case Reports

PubMed ID

28348960

DOI of Published Version

10.1016/j.ebcr.2016.12.003

Start Page

34

End Page

36

Abstract

Shunt overdrainage represents a nebulous condition of variable clinical and imaging presentations, where the diagnosis is primarily clinical. The condition presents a diagnostic challenge particularly in patients with cognitive impairment and developmental delays. Here we present a 3-year-old boy with drug-resistant focal onset seizures due to hemimegalencephaly who previously underwent functional hemispherotomy followed by ventriculoperitoneal shunt placement for postoperative hydrocephalus. The subsequent clinical course was complicated by delayed diagnosis of shunt overdrainage in the absence of significant image findings. Maintaining a high index of suspicion for the possibility of shunt overdrainage is critical even in the face of unremarkable imaging findings.

Keywords

Hemimegalencephaly; Hemispherectomy; Peri-insular functional hemispherotomy; Postoperative hydrocephalus; Shunt overdrainage, oafund

Journal Article Version

Version of Record

Rights

© 2017 The Authors. Published by Elsevier Inc.

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License

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URL

https://ir.uiowa.edu/neurosurgery_pubs/2