Bilateral Papilledema as the First Sign of Ventriculoperitoneal Shunt Dysfunction§

Juan Carlos Serna-Ojeda*, Montserrat Aguirre-Mireles , Mayra Fabiola Camargo-Suarez
Instituto de Oftalmologia #x201C;Conde de Valenciana”. Mexico City, DF, Mexico

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© Serna-Ojeda et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Instituto de Oftalmologia “Conde de Valenciana”, Chimalpopoca 14, 06800 Mexico City, DF, Mexico; Tel:+52 5554421700; Fax: +52 5554421700; E-mail:


A 12 year-old girl patient with a history of ventriculoperitoneal shunt placement at the age of 6 months presented with progressive bilateral decrease in visual acuity. Ophthalmologic examination was consistent with bilateral papilledema. No other systemic manifestations of increased intracranial pressure were evident and laboratory work-up excluded other inflammatory or infectious processes. We present here an interesting case of a patient with ophthalmologic manifestations as the initial finding of ventriculoperitoneal shunt dysfunction.

Keywords: Bilateral papilledema, papilledema, ventriculoperitoneal shunt..