Idiopathic Intracranial Hypertension (IIH) – Management with Lumboperitoneal Shunt: A Review of 50 Cases
Keywords:
Idiopathic intracranial hypertension, benign intracranial hypertension,, lumboperitoneal shunt.Abstract
Idiopathic intracranial hypertension (IIH) is a syndrome of increased intracranial pressure without causative lesions of Brain on MRI or CT. A 5 year Study from Jan 2004 to December 2008 has been conducted at department of neurosurgery, Lahore general hospital, unit I. A total of 50 patients have undergone lumbo-peritoneal shunting for IIH., Predominantly patients were females i-e; 41 (82%) patients. Headache was present in all the 50 (100%). Headache associated with visual symptoms was present in 12 (24%). Patient. Patients selection was based upon positive response to lumbar Puncture or lumbar drain. Procedure was done through open method. Postoperative clinical improvement occurred in 46 (92%) patients. Worsening of the symptoms was noted in 1 (2%) patient.
Conclusion: LP Shunt seems to be effective and safe procedure as the definitive measure in the management of IIH.
References
5. Sussman JD, Sarkies N, Pickard JD. Benign intracranial hypertension. Pseudotumour cerebri: idiopathic intra-cranial hypertension. Adv Tech Stand Neurosurg, 1998; 24: 261–305.
6. Soler D, Cox T, Bullock P, Calver DM, Robinson RO. Diagnosis and management of benign intracranial hype-rtension. Arch Dis Child, 1998; 78: 89–94.
7. Lochead J, Elston JS Doxycycline induced intracranial hypertension. BMJ, 2003; 326: 641–642.
8. Lee AG, Golnik K, Kardon R, Wall M, Eggenberger E, Yedavally S.: Sleep apnea and intracranial hypertension in men. Ophthalmology, 2002; 109: 482–485.
9. Burgett RA., Purvin VA and Kawasaki A.: Lumboperi-toneal shunting for pseudotumor cerebri), Neurology. 1997; 49: 734-739.
10. Wang VY, Barbaro NM, Lawton MT, Pitts L, Kunwar S, Parsa AT, Gupta N, McDermott MW. : Complica-tions of lumboperitoneal shunts. Neurosurgery. 2007 Jun; 60 (6): 1045-8.
11. Bret J P, Huppert B,. Massini, Lapras C. and Fischer G.: Lumbo-peritoneal shunt in non-hydrocephalic pati-ents, A review of 41 cases Acta Neurochirurgica. 1986. Volume 80, Numbers 3-4 / September.
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