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Abstract

BACKGROUND: Idiopathic intracranial hypertension (IIH) is a neurological disorder that requires the use of lumboperitoneal (LP) shunt which is the procedure of choice for most surgeons. AIM OF THE STUDY: To assess the benefits of using a programmable LP shunt in the treatment of IIH, and how to reach the optimal final performance level with minimal shunt-related complications. PATIENTS AND METHODS: A prospective single-center study of 30 patients diagnosed with IIH, treated with adjustable LP shunt in the neurosurgical department at the teaching Martyr Ghazi Al-Hariri Hospital for Specialized Surgery for a period extending from August 30th, 2017 till November 21st, 2018. RESULTS: Among the included patients in the study (30 patients), the female:male ratio was 9:1 with an age range of 17-50 years. Most of the cases (40%) were presented with BMI more than 35. The opening pressure was within the range of 280-585 mmH2O. For the final performance level (P/L), 67% ended up with P/L 1.5 and 27% ended up with P/L 2.0. The outcome recorded as headache improvement 97% and visual improvement 85%. The complications were CSF collection 10%, infection 3%, and the need for shunt revision 7%. CONCLUSION: Using the adjustable Medtronic Strata NSC valve has the possibility of avoiding shunt-related complications with better outcomes.  

DOI

10.52573/ipmj.2021.174069

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