Lumbar subcutaneous shunt: a novel technique for therapeutic decision making in normal pressure hydrocephalus (NPH) and benign intracranial hypertension (BIH).

Abstract:

:Selecting patients who will benefit from a permanent CSF diversion procedure in benign intracranial hypertension (BIH) or communicating hydrocephalus due to normal pressure hydrocephalus (NPH) has inherent problems. The percutaneous introduction of a lumbar subcutaneous shunt (LSS) under local anaesthesia facilitates both a prolonged CSF drainage under aseptic conditions and also elicits an adequate clinical response. We describe the technique of a lumbar subcutaneous shunt and our experience with its use in patients with BIH and NPH. Postprocedure changes in the patients' clinical status were noted. Patients with a transient clinical improvement underwent a subsequent definitive CSF diversion; those with a sustained clinical improvement or no change in symptoms had no further procedure.

journal_name

Br J Neurosurg

authors

Ushewokunze S,Haja Mydin HN,Prasad R,Mendelow AD

doi

10.1080/02688690802007883

subject

Has Abstract

pub_date

2008-10-01 00:00:00

pages

678-81

issue

5

eissn

0268-8697

issn

1360-046X

pii

905628447

journal_volume

22

pub_type

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