Idiopathic intracranial hypertension: lumboperitoneal shunts versus ventriculoperitoneal shunts--case series and literature review.
Affiliation
Department of Neurosurgery, Beaumont Hospital, Beaumont, Dublin, Ireland., Khalidnm500@hotmail.comIssue Date
2012-02-01T10:00:45ZMeSH
AdultAged
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
Metadata
Show full item recordCitation
Br J Neurosurg. 2011 Feb;25(1):94-9.Journal
British journal of neurosurgeryDOI
10.3109/02688697.2010.544781PubMed ID
21323404Abstract
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
engISSN
1360-046X (Electronic)0268-8697 (Linking)
ae974a485f413a2113503eed53cd6c53
10.3109/02688697.2010.544781
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