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

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    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
    Issue Date
    2012-02-01T10:00:45Z
    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
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    Citation
    Br J Neurosurg. 2011 Feb;25(1):94-9.
    Journal
    British journal of neurosurgery
    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
    ISSN
    1360-046X (Electronic)
    0268-8697 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.3109/02688697.2010.544781
    Scopus Count
    Collections
    Beaumont Hospital

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