Can Visual Complaints be Only Symptom in Slit Ventricle Syndrome? A Difficult Diagnosis to be Made

Background: Slit ventricle syndrome (SVS) is a rare symptomatic condition with radiological findings of small sized ventricles in a case of VP Shunt. Diagnosis may be difficult because radiological imaging of small ventricles can be misinterpreted as normal sized ventricles. SVS is a rare condition of reduced brain compliance with intermittent intracranial hypertension. Cases: Author reported two cases of ventriculoperitoneal (VP) shunted patients with only visual disturbances which on evaluation were found to be SVS. Conclusion: SVS is a difficult diagnosis to be made based on laboratory investigations, clinical scenario and imaging. Presence of visual symptoms in shunted patients should not be ignored, closely watched and evaluated for raised ICP as they can be due to SVS.

Author(s): Sandeep Bhardwaj

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