School ager with a ventriculoperitoneal shunt and new neck pain

Radiograph of breakage of VP shunt tubing in the neck
Lateral radiograph of the skull taken 7 years ago (above) shows the VP shunt to be intact inferior to the lucent shunt reservoir. Current lateral radiograph of the skull (below) shows a discontinuity in the ventriculoperitoneal shunt inferior to the lucent shunt reservoir due to a breakage of the shunt tubing.

The diagnosis was ventriculoperitoneal shunt malfunction in the form of a breakage of the tubing in the neck.