Dandy-Walker Malformation with Refractory Epilepsy: Role of Radionuclide Scintigraphy in Assessing Ventriculo-Peritoneal Shunt Patency
- Author:
Nor Qistin Muhamad
1
Author Information
1. Department of Nuclear Medicine, Hospital Pulau Pinang, Jalan Residensi, 10990 Georgetown, Pulau Pinang, Malaysia
- Collective Name:Nor Qistin Muhamad; Fadzilah Hamzah; Noor Khairiah A. Karim
- Publication Type:Case Reports
- Keywords:
Dandy-Walker malformation;
Refractory epilepsy;
Ventriculo-peritoneal shunt;
Shunt patency;
Radionuclide scintigraphy
- MeSH:
Refractory epilepsy
- From:Malaysian Journal of Medicine and Health Sciences
2018;14(Supplement 1):85-87
- CountryMalaysia
- Language:English
-
Abstract:
Dandy-Walker malformation (DWM) is an uncommon congenital anomaly characterised by enlarged posterior fossa involving the cerebellum and fourth ventricle. Most of DWM patients with hydrocephalus require ventriculo-peritoneal shunt (VPS) especially in those with symptoms such as headache and seizures. In cases with worsening hydrocephalus although on VPS, computed tomography and magnetic resonance imaging can be performed to assess ventricular sizes, and an obstructed shunt may be confirmed with iodinated contrast media injection into shunt reservoir under fluoroscopy guidance. VPS scintigraphy is one of infrequently performed nuclear imaging studies that has the capability to assess shunt patency and detect site of blockage with minimal radiation exposure. We describe here a 32-year-old lady with underlying DWM and hydrocephalus on VPS complicated by refractory epilepsy. Radionuclide scintigraphy has proven to be a safe, simple and useful tool in evaluating shunt function and localising the site of VPS obstruction in this patient.
- Full text:11.2018my0319.pdf
