Neurosurgical CSF Diversion in Idiopathic Intracranial Hypertension: A Narrative Review

The prevalence of idiopathic intracranial hypertension (IIH), a complex disorder, is increasing globally in association with obesity. The IIH syndrome occurs as the result of elevated intracranial pressure, which can cause permanent visual impairment and loss if not adequately managed. CSF diversion...

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Main Authors: Geraint J. Sunderland, Michael D. Jenkinson, Elizabeth J. Conroy, Carrol Gamble, Conor L. Mallucci
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Life
Subjects:
Online Access:https://www.mdpi.com/2075-1729/11/5/393
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author Geraint J. Sunderland
Michael D. Jenkinson
Elizabeth J. Conroy
Carrol Gamble
Conor L. Mallucci
author_facet Geraint J. Sunderland
Michael D. Jenkinson
Elizabeth J. Conroy
Carrol Gamble
Conor L. Mallucci
author_sort Geraint J. Sunderland
collection DOAJ
description The prevalence of idiopathic intracranial hypertension (IIH), a complex disorder, is increasing globally in association with obesity. The IIH syndrome occurs as the result of elevated intracranial pressure, which can cause permanent visual impairment and loss if not adequately managed. CSF diversion via ventriculoperitoneal and lumboperitoneal shunts is a well-established strategy to protect vision in medically refractory cases. Success of CSF diversion is compromised by high rates of complication; including over-drainage, obstruction, and infection. This review outlines currently used techniques and technologies in the management of IIH. Neurosurgical CSF diversion is a vital component of the multidisciplinary management of IIH.
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spelling doaj.art-a0815b36d3b6451cb19fa8ece820e89e2023-11-21T17:13:48ZengMDPI AGLife2075-17292021-04-0111539310.3390/life11050393Neurosurgical CSF Diversion in Idiopathic Intracranial Hypertension: A Narrative ReviewGeraint J. Sunderland0Michael D. Jenkinson1Elizabeth J. Conroy2Carrol Gamble3Conor L. Mallucci4Department of Paediatric Neurosurgery, Alder Hey Children’s Hospital NHS Foundation Trust, Liverpool L12 2AP, UKDepartment of Neurosurgery, The Walton Centre NHS Foundation Trust, Liverpool L9 7LJ, UKLiverpool Clinical Trials Centre, University of Liverpool, Liverpool, L69 3GL, UKLiverpool Clinical Trials Centre, University of Liverpool, Liverpool, L69 3GL, UKDepartment of Paediatric Neurosurgery, Alder Hey Children’s Hospital NHS Foundation Trust, Liverpool L12 2AP, UKThe prevalence of idiopathic intracranial hypertension (IIH), a complex disorder, is increasing globally in association with obesity. The IIH syndrome occurs as the result of elevated intracranial pressure, which can cause permanent visual impairment and loss if not adequately managed. CSF diversion via ventriculoperitoneal and lumboperitoneal shunts is a well-established strategy to protect vision in medically refractory cases. Success of CSF diversion is compromised by high rates of complication; including over-drainage, obstruction, and infection. This review outlines currently used techniques and technologies in the management of IIH. Neurosurgical CSF diversion is a vital component of the multidisciplinary management of IIH.https://www.mdpi.com/2075-1729/11/5/393idiopathic intracranial hypertensionpseudotumour cerebricerebrospinal fluidventriculoperitoneal shuntlumboperitoneal shuntprogrammable valve
spellingShingle Geraint J. Sunderland
Michael D. Jenkinson
Elizabeth J. Conroy
Carrol Gamble
Conor L. Mallucci
Neurosurgical CSF Diversion in Idiopathic Intracranial Hypertension: A Narrative Review
Life
idiopathic intracranial hypertension
pseudotumour cerebri
cerebrospinal fluid
ventriculoperitoneal shunt
lumboperitoneal shunt
programmable valve
title Neurosurgical CSF Diversion in Idiopathic Intracranial Hypertension: A Narrative Review
title_full Neurosurgical CSF Diversion in Idiopathic Intracranial Hypertension: A Narrative Review
title_fullStr Neurosurgical CSF Diversion in Idiopathic Intracranial Hypertension: A Narrative Review
title_full_unstemmed Neurosurgical CSF Diversion in Idiopathic Intracranial Hypertension: A Narrative Review
title_short Neurosurgical CSF Diversion in Idiopathic Intracranial Hypertension: A Narrative Review
title_sort neurosurgical csf diversion in idiopathic intracranial hypertension a narrative review
topic idiopathic intracranial hypertension
pseudotumour cerebri
cerebrospinal fluid
ventriculoperitoneal shunt
lumboperitoneal shunt
programmable valve
url https://www.mdpi.com/2075-1729/11/5/393
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AT carrolgamble neurosurgicalcsfdiversioninidiopathicintracranialhypertensionanarrativereview
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