
Is A Dent In Brain Shunt A Cause For Concern?

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Detailed Answer:
Greetings. My name is Dr. Saghafi and I am a neurologist in the XXXXXXX OH region of the world.
I would like to answer this question. The short answer is "probably not".....but why not tell me how you are aware of a "dent" in your shunt? Are you referring to the tubing inside your head or farther down somewhere where it drains such as the peritoneum or heart? Who told you there was a dent and did they really mean that there was a "BEND" in the tube as it was wrapped and went on its trajectory down to the drainage point?
Are there any problems going on with your shunt such as excruciating and sudden onset headaches with nausea/vomiting, unexplained fevers, excessive sleepiness, tiredness, blurriness of vision, double vision of the horizontal type where images are NEXT to one another as opposed to on top of each other? Any unusual ringing in the ears?
So if all that you know of is a "dent" and there are no other symptoms of what we would call "shunt dysfunction" then, there is no justification to revise it (i.e. change it). Those devices are pretty resilient to bending, twisting, kinking, denting, and whatever else you can imagine they might look like on an imaging study. Remember, on a 2D image such as CT or MRI...what appears to be severely crimped or clamped may actually only have a gentle bend to it but because of the loss of 1 of the dimensions of viewing you don't get the DEPTH of what's in there and it may appear to the casual observer that things are bent and need to be straightened or dented and need to be changed.
Remember, every time the shunt is revised there is a significant risk for infectious complications and that can be particularly challenging in terms of cleaning out.
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