Electroconvulsive therapy for depression in a patient with a programmable ventriculoperitoneal shunt in situ for congenital hydrocephalus.

Background: Shunt surgery remains the gold standard of treatment for hydrocephalus. Ventriculoperitoneal (VP) shunt systems represent the most commonly used technique, and the increasing use of programmable valves allows the neurosurgical team to easily and non-invasively adjust shunt settings where indicated. However, their safety in specific clinical scenarios can be a common source of uncertainty due to potential interactions between parametric shunt components and external electromagnetic fields.