VALIDITY OF ULTRASOUND GUIDED PLACEMENT OF VENTRICULOPERITONEAL SHUNTS IN PATIENTS WITH IDIOPATHIC INTRACRANIAL HYPERTENSION

Document Type : Preliminary preprint short reports of original research

Authors

1 Professor of Neurosurgery, Faculty of Medicine, Alexandria University.

2 Department of Neurosurgery, Faculty of Medicine, Alexandria University

Abstract

Introduction
Idiopathic intracranial hypertension (IIH) is a clinical disorder of unknown etiology that is defined by symptoms and signs of raised intracranial pressure (ICP) in absence of dilated ventricles, with normal cerebrospinal fluid (CSF) composition, and no other cause of raised ICP identified on neuroimaging or other evaluation.
Patients with IIH usually present with manifestations related to increased ICP like headache, visual disturbances (like blurred vision or double vision), pulsatile tinnitus, nausea, vomiting, and neck or shoulder pain, often accompanied by papilledema. The target of IIH management is to reduce ICP with the main goals of preservation of vision and relief of headache. Managing idiopathic intracranial hypertension often includes a combination of lifestyle changes, such as weight loss, and medications like acetazolamide to lower intracranial pressure. Surgical intervention in indicated in patients with acute visual deterioration and those with severe headache despite adequate conservative measures. surgical intervention include optic nerve decompression surgery, venous sinus stenting or a CSF Diversion like lumboperitoneal shunt (LPS) or Ventriculoperitoneal (VPS).

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