| ORIGINAL ARTICLE
|Year : 2020 | Volume
| Issue : 5 | Page : 1061--1064
Comparative Study of the Effectiveness of Lumboperitoneal and Ventriculoperitoneal Shunting with Neuronavigation in the Treatment of Idiopathic Intracranial Hypertension
Adilson J M de Oliveira1, Fernando C G Pinto2, Manoel J Teixeira2
1 Neurosurgery Division, Hospital Das Clinicas da Faculdade de Medicina da USP, São Paulo, Brazil; Neurosurgery Division, Clinica Girassol, Luanda, Angola
2 Neurosurgery Division, Hospital Das Clinicas da Faculdade de Medicina da USP, São Paulo, Brazil
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.
Dr. Adilson J M de Oliveira
Alameda Santos, 663, Ap 34B, São Paulo
Source of Support: None, Conflict of Interest: None
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