Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSPOLIVEIRA, Adilson J. M. dePINTO, Fernando C. G.TEIXEIRA, Manoel J.2021-02-182021-02-182020NEUROLOGY INDIA, v.68, n.5, p.1061-1064, 20200028-3886https://observatorio.fm.usp.br/handle/OPI/39261Background: 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.engrestrictedAccessIdiopathic intracranial hypertensionlumboperitoneal shuntneuronavigationpseudotumor cerebriventricle-peritoneal shuntKey MessageIn this retrospective serieswe show that neuronavigation is effective in improving the results of ventricular puncture and that it is cost beneficialthereforewe recommend its useAlthough there was no statistical significance in the number of complications between the two groupswe believe that VPS assisted by neuronavigation is a better choice than LPSespecially during reoperationLPS showed to be superior in first surgeries being effective and with good cost-benefit so perhaps it should pass the first choice in these circumstancescomplicationshydrocephalusupdatearticleCopyright WOLTERS KLUWER MEDKNOW PUBLICATIONS10.4103/0028-3886.294549Neurosciences1998-4022