Two patients with distally obstructed ventriculo-peritoneal shunts wer
e successfully treated by laparoscopic intervention. A 72-year-old wom
an with normal pressure hydrocephalus and a 24-year-old woman with aqu
eductal stenosis became symptomatic because of distal obstructions of
previously placed ventriculo-peritoneal shunts. Laparoscopic intervent
ion enabled the efficient revision of the distal cannulae in both case
s with prompt clinical improvement.