Comparative Study of the Effectiveness of Lumboperitoneal and Ventriculoperitoneal Shunting with Neuronavigation in the Treatment of Idiopathic Intracranial Hypertension
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Citações na Scopus
2
Tipo de produção
article
Data de publicação
2020
Título da Revista
ISSN da Revista
Título do Volume
Editora
WOLTERS KLUWER MEDKNOW PUBLICATIONS
Citação
NEUROLOGY INDIA, v.68, n.5, p.1061-1064, 2020
Resumo
Background: 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.
Palavras-chave
Idiopathic intracranial hypertension, lumboperitoneal shunt, neuronavigation, pseudotumor cerebri, ventricle-peritoneal shunt, Key Message, In this retrospective series, we show that neuronavigation is effective in improving the results of ventricular puncture and that it is cost beneficial, therefore, we recommend its use, Although there was no statistical significance in the number of complications between the two groups, we believe that VPS assisted by neuronavigation is a better choice than LPS, especially during reoperation, LPS showed to be superior in first surgeries being effective and with good cost-benefit so perhaps it should pass the first choice in these circumstances
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