21 year old man The patient had a v-p shunt removed in January 2017. He has not had escalating headaches. The shunt was put in in 2015. He was born with hydrocephalus. The shunt was possibly overdraining for 5 years so there were problems with slipped ventricles and low CSR pressure. The pressure was checked today and it was perfect. There is still a bulb so the CSF pressure can be checked. There was eye examination in November showing possible papilledema. VA OD: sc20/40+2 NscJ5 VA OS: sc20/32+2 NscJ1