Management of Lumbo-Peritoneal Shunt Complications in Patients with Idiopathic Intracranial Hypertension | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 16, Volume 74, Issue 5, January 2019, Pages 1075-1078 PDF (163.68 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2019.26355 | ||
| Authors | ||
| Ibrahim Ewaiss1; Al-Sayed Roshdy1; Samer Magdy* 1; Mohamed Rashid2 | ||
| 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. | ||
| Keywords | ||
| Lunboperitoneal shunt; Idiopathic intracranial hypertension; Complications | ||
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