Management of Lumbo-Peritoneal Shunt Complications in Patients with Idiopathic Intracranial Hypertension
Ewaiss, I., Roshdy, A., Magdy, S., Rashid, M. (2019). Management of Lumbo-Peritoneal Shunt Complications in Patients with Idiopathic Intracranial Hypertension. EKB Journal Management System, 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". EKB Journal Management System, 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', EKB Journal Management System, 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. EKB Journal Management System, 2019; 74(5): 1075-1078. doi: 10.21608/ejhm.2019.26355

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, Page 1075-1078  XML PDF (163.68 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2019.26355
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Authors
Ibrahim Ewaiss1; Al-Sayed Roshdy1; Samer Magdy email 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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