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


BACKGROUND:Idiopathic intracranial hypertension (IIH) is a neurological disorder that requires the use oflumboperitoneal (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 reachthe 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 LPshunt in the neurosurgical department at the teaching Martyr Ghazi Al-Hariri Hospital forSpecialized 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 agerange of 17-50 years. Most of the cases (40%) were presented with BMI more than 35. The openingpressure was within the range of 280-585 mmH2O. For the final performance level (P/L), 67% endedup with P/L 1.5 and 27% ended up with P/L 2.0. The outcome recorded as headache improvement97% and visual improvement 85%. The complications were CSF collection 10%, infection 3%, andthe need for shunt revision 7%.CONCLUSION:Using the adjustable Medtronic Strata NSC valve has the possibility of avoiding shunt-relatedcomplications with better outcomes.