We present a patient with a history of shunted hydrocephalus due to neonatal iatrogenic thoracic venous occlusion with subsequent interval development of spontaneous thoracic venous collateral occlusion as a young adult presenting with symptoms of ventriculoperitoneal shunt failure. Though the patient’s presenting symptoms were suggestive of shunt failure in the setting of known shunt dependent hydrocephalus, specific ophthalmologic findings, including venous engorgement, retinal and subconjunctival hemorrhages as well as periorbital edema in conjunction with papilledema, led to the correct diagnosis of cranio-orbital congestion secondary to microthrombi formation in the venous collateral anomalies of her chest wall. This pathology was successfully managed with warfarin.

我们介绍了一名因新生儿医源性胸静脉闭塞而有分流性脑积水病史的患者，随后在年轻成人出现脑室腹腔分流失败症状时出现自发性胸静脉侧支闭塞。尽管患者出现的症状提示在已知分流依赖性脑积水的情况下分流失败，但特定的眼科发现，包​​括静脉充血、视网膜和结膜下出血以及眶周水肿与视乳头水肿，导致正确诊断为颅眶继发于胸壁静脉侧支异常中微血栓形成的充血。用华法林成功地控制了这种病理。