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Volume 14
Issue 11
10.3390/diagnostics14111141
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Interesting Images

Rare Complications of CSF Diversion: Paradoxical Neuroimaging Findings in a Double, Chiasmic Case Report

by
Gianfranco Di Salle
1,
Gianmichele Migaleddu
2,*,
Silvia Canovetti
2,
Gaetano Liberti
3,
Paolo Perrini
3,4 and
Mirco Cosottini
5
1
Academic Radiology, Department of Translational Research, University of Pisa, Via Roma 67, 56126 Pisa, Italy
2
Neuroradiology Unit, Azienda Ospedaliero Universitaria Pisana, 56124 Pisa, Italy
3
Neurosurgery Unit, Azienda Ospedaliero Universitaria Pisana, 56124 Pisa, Italy
4
Department of Translational Research on New Technologies in Medicine and Surgery, University of Pisa, 56126 Pisa, Italy
5
Neuroradiology Unit, Department of Translational Research on New Technologies in Medicine and Surgery, University of Pisa, 56126 Pisa, Italy
*
Author to whom correspondence should be addressed.
Diagnostics 2024, 14(11), 1141; https://doi.org/10.3390/diagnostics14111141
Submission received: 22 April 2024 / Revised: 24 May 2024 / Accepted: 29 May 2024 / Published: 30 May 2024
(This article belongs to the Special Issue Clinical Advances and Applications in Neuroradiology)
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Abstract

Two patients with CSF shunting systems exhibited symptoms of altered intracranial pressure. Initial neuroimaging led to misinterpretation, but integrating clinical history and follow-up imaging revealed the true diagnosis. In the first case, reduced ventricular size was mistaken for CSF overdrainage, while the actual problem was increased intracranial pressure, as seen in slit ventricle syndrome. In the second case, symptoms attributed to intracranial hypertension were due to CSF overdrainage causing tonsillar displacement and hydrocephalus. Adjusting the spinoperitoneal shunt pressure resolved symptoms and imaging abnormalities. These cases highlight the necessity of correlating clinical presentation with a deep understanding of CSF dynamics in shunt assessments.
Keywords: cerebrospinal fluid; shunt; MRI; slit ventricle system; isolated dilation of the fourth ventricle cerebrospinal fluid; shunt; MRI; slit ventricle system; isolated dilation of the fourth ventricle

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MDPI and ACS Style

Di Salle, G.; Migaleddu, G.; Canovetti, S.; Liberti, G.; Perrini, P.; Cosottini, M. Rare Complications of CSF Diversion: Paradoxical Neuroimaging Findings in a Double, Chiasmic Case Report. Diagnostics 2024, 14, 1141. https://doi.org/10.3390/diagnostics14111141

AMA Style

Di Salle G, Migaleddu G, Canovetti S, Liberti G, Perrini P, Cosottini M. Rare Complications of CSF Diversion: Paradoxical Neuroimaging Findings in a Double, Chiasmic Case Report. Diagnostics. 2024; 14(11):1141. https://doi.org/10.3390/diagnostics14111141

Chicago/Turabian Style

Di Salle, Gianfranco, Gianmichele Migaleddu, Silvia Canovetti, Gaetano Liberti, Paolo Perrini, and Mirco Cosottini. 2024. "Rare Complications of CSF Diversion: Paradoxical Neuroimaging Findings in a Double, Chiasmic Case Report" Diagnostics 14, no. 11: 1141. https://doi.org/10.3390/diagnostics14111141

APA Style

Di Salle, G., Migaleddu, G., Canovetti, S., Liberti, G., Perrini, P., & Cosottini, M. (2024). Rare Complications of CSF Diversion: Paradoxical Neuroimaging Findings in a Double, Chiasmic Case Report. Diagnostics, 14(11), 1141. https://doi.org/10.3390/diagnostics14111141

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