Complications specific to lumboperitoneal shunt

Ignacio Jusué-Torres, Jamie B. Hoffberger, Daniele Rigamonti

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

For the past half-century, the lumboperitoneal shunt (LP shunt) has been the leading surgical treatment for idiopathic intracranial hypertension (IIH). More recently in Japan, this procedure has been offered in the management of Normal Pressure Hydrocephalus (NPH). In some institutions, the LP shunt comprises up to 40 % of all cerebrospinal fluid (CSF) shunting. One of the reasons that LP shunt is used when treating patients with IIH is because it is difficult to place a ventricular catheter in ventricles that are usually small, in this condition. Furthermore, the avoidance of an intracranial procedure with LP shunt spares the small risk of intracranial hemorrhage while passing a catheter through the brain parenchyma. It is to be remembered, however, that given the pathogenetic mechanism of IIH, LP shunt and optic nerve fenestration (ONF) are symptomatic treatment while reducing patients weight (diet, bariatric surgery, etc.) and/or dural sinus stenting intervene on the cause itself of IIH and therefore should be offered first.

Original languageEnglish (US)
Title of host publicationComplications of CSF Shunting in Hydrocephalus
Subtitle of host publicationPrevention, Identification, and Management
PublisherSpringer International Publishing
Pages203-211
Number of pages9
ISBN (Electronic)9783319099613
ISBN (Print)9783319099606
DOIs
StatePublished - Jan 1 2015

ASJC Scopus subject areas

  • Medicine(all)

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    Jusué-Torres, I., Hoffberger, J. B., & Rigamonti, D. (2015). Complications specific to lumboperitoneal shunt. In Complications of CSF Shunting in Hydrocephalus: Prevention, Identification, and Management (pp. 203-211). Springer International Publishing. https://doi.org/10.1007/978-3-319-09961-3_14