Ewaiss, I., Roshdy, A., Magdy, S., Rashid, M. (2019). Management of Lumbo-Peritoneal Shunt Complications in Patients with Idiopathic Intracranial Hypertension. The Egyptian Journal of Hospital Medicine, 74(5), 1075-1078. doi: 10.21608/ejhm.2019.26355
Ibrahim Ewaiss; Al-Sayed Roshdy; Samer Magdy; Mohamed Rashid. "Management of Lumbo-Peritoneal Shunt Complications in Patients with Idiopathic Intracranial Hypertension". The Egyptian Journal of Hospital Medicine, 74, 5, 2019, 1075-1078. doi: 10.21608/ejhm.2019.26355
Ewaiss, I., Roshdy, A., Magdy, S., Rashid, M. (2019). 'Management of Lumbo-Peritoneal Shunt Complications in Patients with Idiopathic Intracranial Hypertension', The Egyptian Journal of Hospital Medicine, 74(5), pp. 1075-1078. doi: 10.21608/ejhm.2019.26355
Ewaiss, I., Roshdy, A., Magdy, S., Rashid, M. Management of Lumbo-Peritoneal Shunt Complications in Patients with Idiopathic Intracranial Hypertension. The Egyptian Journal of Hospital Medicine, 2019; 74(5): 1075-1078. doi: 10.21608/ejhm.2019.26355
Management of Lumbo-Peritoneal Shunt Complications in Patients with Idiopathic Intracranial Hypertension
1Department of Neurosurgery, Faculty of Medicine, Al-Azhar University
2Department of Clinical Pathology, Faculty of Medicine, Al-Azhar University
Abstract
Background: lumboperitoneal (LP) shunt is one of the best surgical management in treatment of Idiopathic intracranial hypertension (IIH). Objective: to review the LP shunt complications and their management in IIH. Patients and Methods: a total of 20 patients who got complications after LP shunt and needed shunt revision were included. There were 18 females and 2 males treated at Al-Hussein university hospital and Al-Mataria teaching hospital during the period from December 2015 and June 2018. Results: there were 18 (90%) females and 2 (10%) males with age ranged from 18 to 48 years. Obstruction was the most common complication happened in 8 (40%) patients. Migration was the second common complication happened in 6 (30%) patients. Shunt infection is the one of the most dangerous complication and needs early intervention. There was one (5%) case of infection which required removal of the LP shunt. Tow (10%) patients had CSF leakage. One (5%) patient had symptoms of over drainage. One (5%) patient had radiculopathy. One (5%) patient had intestinal perforation. Conclusion: LP shunts for the treatment of IIH seems to be a safe procedure. Serious complications were rare. Only one case was deteriorated. Some patients need more than one shunt revision.
View on SCiNiTO
Top