Comparative Study of the Effectiveness of Lumboperitoneal and Ventriculoperitoneal Shunting with Neuronavigation in the Treatment of Idiopathic Intracranial Hypertension

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorOLIVEIRA, Adilson J. M. de
dc.contributor.authorPINTO, Fernando C. G.
dc.contributor.authorTEIXEIRA, Manoel J.
dc.date.accessioned2021-02-18T13:39:05Z
dc.date.available2021-02-18T13:39:05Z
dc.date.issued2020
dc.description.abstractBackground: Idiopathic intracranial hypertension is an uncommon intracranial disorder in which intracranial pressure is increased without radiological evidence of lesions. Surgery is indicated when severe optic neuropathy is present or medical treatment fails. Objective: To assess the comparative effectiveness of lumboperitoneal (LPS) and ventriculoperitoneal shunt (VPS) with neuronavigation. Subjects and Methods: A retrospective study was performed based on our database. We analyzed demographics, pre and postoperative parameters, and follow-up data on patients who had undergone either LPS or VPS between January 2007 and December 2017. Results: Group I consisted of 17 VPS patients, of which 16 were female, and group II consisted of 29 LPS patients, of which 26 were female. The number of surgeries performed in the LPS group was higher (due to recurrence) than that in the VPS group. Moreover, the rate of complications was higher in the LPS group. Conclusions: VPS is safer and has a lower rate of complications and reinterventions compared to LPS.eng
dc.description.indexMEDLINEeng
dc.identifier.citationNEUROLOGY INDIA, v.68, n.5, p.1061-1064, 2020
dc.identifier.doi10.4103/0028-3886.294549
dc.identifier.eissn1998-4022
dc.identifier.issn0028-3886
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/39261
dc.language.isoeng
dc.publisherWOLTERS KLUWER MEDKNOW PUBLICATIONSeng
dc.relation.ispartofNeurology India
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright WOLTERS KLUWER MEDKNOW PUBLICATIONSeng
dc.subjectIdiopathic intracranial hypertensioneng
dc.subjectlumboperitoneal shunteng
dc.subjectneuronavigationeng
dc.subjectpseudotumor cerebrieng
dc.subjectventricle-peritoneal shunteng
dc.subjectKey Messageeng
dc.subjectIn this retrospective serieseng
dc.subjectwe show that neuronavigation is effective in improving the results of ventricular puncture and that it is cost beneficialeng
dc.subjectthereforeeng
dc.subjectwe recommend its useeng
dc.subjectAlthough there was no statistical significance in the number of complications between the two groupseng
dc.subjectwe believe that VPS assisted by neuronavigation is a better choice than LPSeng
dc.subjectespecially during reoperationeng
dc.subjectLPS showed to be superior in first surgeries being effective and with good cost-benefit so perhaps it should pass the first choice in these circumstanceseng
dc.subject.othercomplicationseng
dc.subject.otherhydrocephaluseng
dc.subject.otherupdateeng
dc.subject.wosNeuroscienceseng
dc.titleComparative Study of the Effectiveness of Lumboperitoneal and Ventriculoperitoneal Shunting with Neuronavigation in the Treatment of Idiopathic Intracranial Hypertensioneng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.citation.scopus2
hcfmusp.contributor.author-fmusphcADILSON JOSE MANUEL DE OLIVEIRA
hcfmusp.contributor.author-fmusphcFERNANDO CAMPOS GOMES PINTO
hcfmusp.contributor.author-fmusphcMANOEL JACOBSEN TEIXEIRA
hcfmusp.description.beginpage1061
hcfmusp.description.endpage1064
hcfmusp.description.issue5
hcfmusp.description.volume68
hcfmusp.origemWOS
hcfmusp.origem.pubmed33109853
hcfmusp.origem.scopus2-s2.0-85094805990
hcfmusp.origem.wosWOS:000596153700020
hcfmusp.publisher.cityMUMBAIeng
hcfmusp.publisher.countryINDIAeng
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hcfmusp.scopus.lastupdate2024-05-10
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