Attachment of a pressure gradient chamber to existing lumbar theco-peritoneal shunt in a patient with pseudotumor cerebri with low pressure headaches, a novel procedure: a case report

Aditendraditya S. Bhati; Aarjun Tyagi; Sudheer K. Tyagi

doi:10.18203/2349-2902.isj20185048

Authors

Aditendraditya S. Bhati Department of Neurosurgery, Indraprastha Apollo Hospital, New Delhi, India
Aarjun Tyagi Medical Intern, Hamdard Institute of Medical Sciences & Research, New Delhi, India
Sudheer K. Tyagi Department of Neurosurgery, Indraprastha Apollo Hospital, New Delhi, India

DOI:

https://doi.org/10.18203/2349-2902.isj20185048

Keywords:

Idiopathic intracranial hypertension, Programmable chamber, Pressure gradient chamber, Pseudotumor cerebri, Thecoperitoneal shunt

Abstract

Pesudotumor cerebri is a syndrome which causes intracranial hypertension with no associated mass lesion. It is managed both medically as well as surgically. Cerebral spinal fluid diversion using theco-peritoneal shunt is commonly performed to decrease intracranial tension. We present a case of a middle age lady who had severe low pressure headaches following theco-peritoneal shunt for pesudotumor cerebri. She was managed by attaching pressure gradient chamber to the pre-existing theco-peritoneal shunt. Patient had marked improvement in headache, which gradually subsided. Attaching pressure gradient chamber to the pre-existing theco-peritoneal shunt helps to improve low pressures headaches in pseudotumor cerebri. It is an alternative procedure considering other extensive surgical options.

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