24Sep 2017

NEUROLOGICAL AND OPHTHALMOLOGICAL RECOVERY AFTER LUMBO-PERITONEAL SHUNTING AS A TREATMENT OF IDIOPATHIC INTRACRANIAL HYPERTENSION

  • Lecturers of Neurosurgery Department, Faculty of Medicine, Benha University.
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Background: Idiopathic intracranial hypertension (IIH) is a syndrome of unknown etiology resulting in increased intracranial pressure (ICP). Traditional options for medically refractory patients are CSF diversion or optic nerve sheath fenestration (ONSF). Objective: to evaluate lumbo-peritoneal shunts in the treatment of idiopathic intracranial hypertension (IIH). Patients and methods: A prospective clinical cohort study which including twenty two patients fulfilling the modified Dandy criteria for the diagnosis of IIH and were medically refractory underwent a lumbo-peritoneal shunt and were followed up for mean 26.5?3.23 months in Benha University hospital. Results: headache improved in ten patients (45.5%). Gradual resolution of papilloedema occurred with complete resolution of papilloedema in 4(18.2%), 14(63.6%) and 22(100%) patients at 2, 3 and 4 weeks postoperative respectively which is statistically significant. Conclusion: Lumbo-peritoneal shunts are effective in treating idiopathic intracranial hypertension with transient and even mild complications.

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[Moataz A. Elawady and Mohamed M. Elmaghrabi. (2017); NEUROLOGICAL AND OPHTHALMOLOGICAL RECOVERY AFTER LUMBO-PERITONEAL SHUNTING AS A TREATMENT OF IDIOPATHIC INTRACRANIAL HYPERTENSION Int. J. of Adv. Res. 5 (Sep). 914-920] (ISSN 2320-5407). www.journalijar.com

Mohamed Elmaghrabi
Benha faculty of Medicine, Benha University

DOI:

Article DOI: 10.21474/IJAR01/5404      
DOI URL: http://dx.doi.org/10.21474/IJAR01/5404

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