Ghazal, O., Al-Shalchy, A. (2022). Benefits of using Programmable Lumboperitoneal Shunt in the Management of Idiopathic Intracranial Hypertension. Alustath, 21(1), 38-45. doi: 10.52573/ipmj.2021.174069
Omar Mohsin Mohammed Ghazal; Ali Kamil Al-Shalchy. "Benefits of using Programmable Lumboperitoneal Shunt in the Management of Idiopathic Intracranial Hypertension". Alustath, 21, 1, 2022, 38-45. doi: 10.52573/ipmj.2021.174069
Ghazal, O., Al-Shalchy, A. (2022). 'Benefits of using Programmable Lumboperitoneal Shunt in the Management of Idiopathic Intracranial Hypertension', Alustath, 21(1), pp. 38-45. doi: 10.52573/ipmj.2021.174069
Ghazal, O., Al-Shalchy, A. Benefits of using Programmable Lumboperitoneal Shunt in the Management of Idiopathic Intracranial Hypertension. Alustath, 2022; 21(1): 38-45. doi: 10.52573/ipmj.2021.174069

Benefits of using Programmable Lumboperitoneal Shunt in the Management of Idiopathic Intracranial Hypertension

Iraqi Postgraduate Medical Journal
Article 6, Volume 21, Issue 1, January 2022, Pages 38-45    PDF (238.9 K)
Document Type: Research Paper
DOI: 10.52573/ipmj.2021.174069
Authors
Omar Mohsin Mohammed Ghazal1; Ali Kamil Al-Shalchy2
1Tikrit Emergency Hospital / Saladdin, Iraq.
2Ghazi Al-Hariri Teaching Hospital for Specialized Surgery / Baghdad Medical City/ Baghdad, Iraq.
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.
 
Keywords
Idiopathic intracranial hypertension (IIH); Strata NSC valve; adjustable LP shunt
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