There is no consensus regarding appropriate imaging workup in pediatric patients with potential VP shunt complications. Neurosurgeons vary widely in their management approach,65 and it is quite common for patients with possible VP shunt complications to have a noncontrast head computed tomography (CT) scan and shunt series. These studies are typically reserved for patients with concern for possible mechanical or functional shunt failure.
Noncontrast Head Computed Tomography
Noncontrast head CT is the most commonly used test for assessing patients with suspected shunt complications. It is widely available and usually does not require sedation.66
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