Objective: The objective of this report is to describe the presentation, diagnostic imaging findings, management, and complications of surgical shunt placement in a foal with congenital hydrocephalus.
Case summary: A 3-day-old Quarter Horse colt was diagnosed with hydrocephalus on the basis of clinical signs and computed tomographic scan. A surgical shunt was placed from the right cerebral ventricle to the peritoneum. The foal demonstrated significant improvement in clinical signs until shunt complications occurred.
New or unique information provided: To the authors' knowledge, the placement of a ventriculoperitoneal shunt to manage equine hydrocephalus has not been described. This case report provides a foundation for understanding the techniques and possible complications of surgical shunt placement in hydrocephalic foals.