Idiopathic intracranial hypertension: lumboperitoneal shunts versus ventriculoperitoneal shunts--case series and literature review.

Hdl Handle:
http://hdl.handle.net/10147/207161
Title:
Idiopathic intracranial hypertension: lumboperitoneal shunts versus ventriculoperitoneal shunts--case series and literature review.
Authors:
Abubaker, Khalid; Ali, Zulfiqar; Raza, Kazim; Bolger, Ciaran; Rawluk, Daniel; O'Brien, Donncha
Affiliation:
Department of Neurosurgery, Beaumont Hospital, Beaumont, Dublin, Ireland., Khalidnm500@hotmail.com
Citation:
Br J Neurosurg. 2011 Feb;25(1):94-9.
Journal:
British journal of neurosurgery
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207161
DOI:
10.3109/02688697.2010.544781
PubMed ID:
21323404
Abstract:
OBJECTIVES: Idiopathic intracranial hypertension (IIH) is an uncommon but important cause of headache that can lead to visual loss. This study was undertaken to review our experience in the treatment of IIH by neuronavigation-assisted ventriculoperitoneal (VP) shunts with programmable valves as compared to lumboperitoneal (LP) shunts. METHODS: A retrospective chart review was conducted on 25 patients treated for IIH between 2001 and 2009. Age, sex, clinical presentation, methods of treatment and failure rates were recorded. RESULTS: Seventy-two per cent were treated initially with LP shunts. Failure rate was 11% in this group. Neuronavigation-assisted VP shunts were used to treat 28%. In this group, the failure rate was 14%. CONCLUSION: Our experience indicates that both LP shunts and VP shuts are effective in controlling all the clinical manifestations of IIH in the immediate postoperative period. Failure rates are slightly higher for VP shunts (14%) than LP shunts (11%). However, revision rates are higher with LP shunts (60%) than with VP shunts (30%).
Language:
eng
MeSH:
Adult; Aged; Cerebrospinal Fluid Shunts/*methods; Child; Female; Headache/etiology/*surgery; Humans; Male; Middle Aged; Pseudotumor Cerebri/complications/physiopathology/*surgery; Reoperation; Retrospective Studies; Treatment Outcome; Ventriculoperitoneal Shunt/methods; Vision Disorders/etiology/prevention & control/*surgery
ISSN:
1360-046X (Electronic); 0268-8697 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorAbubaker, Khaliden_GB
dc.contributor.authorAli, Zulfiqaren_GB
dc.contributor.authorRaza, Kazimen_GB
dc.contributor.authorBolger, Ciaranen_GB
dc.contributor.authorRawluk, Danielen_GB
dc.contributor.authorO'Brien, Donnchaen_GB
dc.date.accessioned2012-02-01T10:00:45Z-
dc.date.available2012-02-01T10:00:45Z-
dc.date.issued2012-02-01T10:00:45Z-
dc.identifier.citationBr J Neurosurg. 2011 Feb;25(1):94-9.en_GB
dc.identifier.issn1360-046X (Electronic)en_GB
dc.identifier.issn0268-8697 (Linking)en_GB
dc.identifier.pmid21323404en_GB
dc.identifier.doi10.3109/02688697.2010.544781en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207161-
dc.description.abstractOBJECTIVES: Idiopathic intracranial hypertension (IIH) is an uncommon but important cause of headache that can lead to visual loss. This study was undertaken to review our experience in the treatment of IIH by neuronavigation-assisted ventriculoperitoneal (VP) shunts with programmable valves as compared to lumboperitoneal (LP) shunts. METHODS: A retrospective chart review was conducted on 25 patients treated for IIH between 2001 and 2009. Age, sex, clinical presentation, methods of treatment and failure rates were recorded. RESULTS: Seventy-two per cent were treated initially with LP shunts. Failure rate was 11% in this group. Neuronavigation-assisted VP shunts were used to treat 28%. In this group, the failure rate was 14%. CONCLUSION: Our experience indicates that both LP shunts and VP shuts are effective in controlling all the clinical manifestations of IIH in the immediate postoperative period. Failure rates are slightly higher for VP shunts (14%) than LP shunts (11%). However, revision rates are higher with LP shunts (60%) than with VP shunts (30%).en_GB
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.meshAgeden_GB
dc.subject.meshCerebrospinal Fluid Shunts/*methodsen_GB
dc.subject.meshChilden_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHeadache/etiology/*surgeryen_GB
dc.subject.meshHumansen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshPseudotumor Cerebri/complications/physiopathology/*surgeryen_GB
dc.subject.meshReoperationen_GB
dc.subject.meshRetrospective Studiesen_GB
dc.subject.meshTreatment Outcomeen_GB
dc.subject.meshVentriculoperitoneal Shunt/methodsen_GB
dc.subject.meshVision Disorders/etiology/prevention & control/*surgeryen_GB
dc.titleIdiopathic intracranial hypertension: lumboperitoneal shunts versus ventriculoperitoneal shunts--case series and literature review.en_GB
dc.contributor.departmentDepartment of Neurosurgery, Beaumont Hospital, Beaumont, Dublin, Ireland., Khalidnm500@hotmail.comen_GB
dc.identifier.journalBritish journal of neurosurgeryen_GB
dc.description.provinceLeinster-

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