Increased systemic venous pressure leading to intracranial hypertension in a patient with a ventriculoatrial shunt: illustrative case
Elevated systemic venous pressure can impair VA shunt function and cause intracranial hypertension. Preoperative central venous pressure measurement may help identify patients at risk. Nitroglycerin may serve as a diagnostic tool for VA shunt dysfunction related to elevated venous pressure. Awareness of increased systemic venous pressure as a factor in VA shunt dysfunction is warranted. https://thejns.org/doi/10.3171/CASE25226.
Authors
- Nicolas Hernandez Nørager (ORCID: https://orcid.org/0000-0003-1896-7749)
- Tina Nørgaard Munch (ORCID: https://orcid.org/0000-0001-5938-000X)
- Marianne Juhler (ORCID: https://orcid.org/0000-0003-2652-7495)
- Casper Schwartz Riedel (ORCID: https://orcid.org/0000-0002-9393-0092)
- Jesper Kelsen
Institutions
- Glostrup Hospital (DK)
- Aarhus University Hospital (DK)
- Copenhagen University Hospital (DK)
- Rigshospitalet (DK)
Publication Details
- Journal
- Journal of Neurosurgery Case Lessons
- Published
- 2025-08-25
- DOI
- https://doi.org/10.3171/case25226
- Citations
- 1
- Primary Topic
- Cerebrospinal fluid and hydrocephalus
- Type
- article
- Field-Weighted Citation Impact
- 0.91