You are reviewing a 44-year-old man for revision ventriculoperitoneal shunt for congenital aqueductal stenosis which was first diagnosed at age 13. This operation will be his fourth revision. He is an inpatient on the neurosurgical ward.
His current medications are:
- dexamethasone 4 mg bd orally
- omeprazole 20 mg mane orally
- levetiracetam (Keppra) 250 mg bd orally
Please comment on the CT scan and explain what specific information you would like in your assessment of this patient.
Sections covered in this viva
Assessment of shunt failure and hydrocephalus with induction planningLeft-sided neck swelling from vascular injuryCombative patient in recovery - delirium management