Acta Scientific Neurology (ASNE) (ISSN: 2582-1121)

Case Report Volume 4 Issue 1

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

Sandeep Bhardwaj* and Manish Chaurasiya

Neurosurgery Department, SMS Hospital, Jaipur, India

*Corresponding Author: Sandeep Bhardwaj, Neurosurgery Department, SMS Hospital, Jaipur, India.

Received: November 20, 2020; Published: December 14, 2020



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.

Keywords: Slit Ventricle; Shunt Malfunction; Over-drainage; Ventriculoperitoneal (VP) Shunt



  1. Epstein F., et al. “Slit ventricle syndrome: aetiology and treatment”. Pediatric Neuroscience 14 (1988): 5-10.
  2. Epstein F., et al. “Chronic headache in the shunt dependant adolescent with nearly normal sized ventricular volume: diagnosis and treatment”. Neurosurgery 3 (1978): 351-355.
  3. Kikens K., et al. “The slit ventricle syndrome after shunting in hydrocephalic children”. Neuropediatrics 13 (1982): 190-194.
  4. Becker DP and Nulsen FE. “Control of hydrocephalus with valve regulated venous shunt: avoidance of complications in prolonged shunt maintenance”. Journal of Neurosurgery 28 (1968): 215-226
  5. Sivaganeshan A., et al. “Neuroimaging of ventriculoperitoneal shunt complications in children”. Pediatric Radiology 42 (2012): 1029-1046.
  6. Rekate HL. “The slit ventricle syndrome: advances based on technology and understanding”. Pediatric Neurosurgery 40 (2004): 259-263.
  7. Bateman GA. “Hypertensive slit ventricle syndrome: pseudotumor cerebri with malfunctioning shunt?”. Journal of Neurosurgery 119 (2013): 1503-1510.
  8. Mc Laurin R and Olivi A. “Slit ventricle syndrome: review of 15 cases”. Pediatric Neuroscience 13 (1987): 118-124.
  9. Rekate HL. “Classification of slit ventricle syndromes using intracranial pressure monitoring”. Pediatric Neurosurgery 19 (1993): 15-20.
  10. Sood S., et al. “The role of lumbar shunts in the management of slit ventricles: does the slit ventricle syndrome exist?”. Journal of Neurosurgery 103 (2005): 119-123.
  11. Oi S and Matsumoto S. “Infantile hydrocephalus and the slit ventricle syndrome in early infancy”. Nerves System 3 (1987): 145-150.
  12. Del Bigio MR. “Neuropathological findings in a child with slit ventricle syndrome”. Pediatric Neurosurgery 37 (2002): 148-151.
  13. Sood S., et al. “Pathophysiological changes in cerebrovascular distensibility in patients undergoing chronic shunt therapy”. Journal of Neurosurgery 100 (2004): 447-453.
  14. Engel M., et al. “Increased intraventricular pressure with out ventriculomegaly in children with shunts: “normal volume” hydrocephalus”. Neurosurgery 5 (1979): 549-552.
  15. Retake HL., et al. “The importance of the cortical subarachnoid space in understanding hydrocephalus”. Journal of Neurosurgery and Pediatric 2 (2008): 1-11.
  16. Sklar FH., et al. “The use of abdominal binders to treat over shunting headaches”. Journal of Neurosurgery and Pediatric 9 (2012): 615-620.
  17. Bruce DA and Weprin B. “The slit ventricle syndrome”. Neurosurgery Clinics of North America 12 (2001): 709717.
  18. Nguyen TN., et al. “Ophthalmic complications of slit ventricle syndrome in children”. Ophthalmology 109 (2002): 520-524.
  19. Nazir S., et al. “Sensitivity of papilledema as a sign of shunt failure in children”. Journal of AAPOS 13 (2009): 63-66.


Citation: Sandeep Bhardwaj and Manish Chaurasiya. “Can Visual Complaints be Only Symptom in Slit Ventricle Syndrome? A Difficult Diagnosis to be Made". Acta Scientific Neurology 4.1 (2021): 18-21.


Acceptance rate32%
Acceptance to publication20-30 days

Indexed In

News and Events

  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is May 30, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US