Abstract
Ventriculoperitoneal shunt (VPS) obstruction may have a myriad of presentations. We
reported a case of an 11-year-old girl presenting with acute, bilateral proptosis
secondary to VPS obstruction. While neuroimaging was interpreted as unremarkable,
fundoscopy revealed bilateral papilledema and lumbar puncture showed elevated intracranial
pressure. Neurosurgical exploration demonstrated VPS valve obstruction and a new VPS
was inserted. Postoperatively, she developed a recurrent extradural hematoma, which
was initially evacuated and later managed conservatively. To our knowledge, this is
the first report of bilateral proptosis secondary to VPS obstruction. This case highlights
the value of key clinical findings and limitations of neuroimaging.
Keywords
proptosis - ventriculoperitoneal shunt - obstruction
