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Lumboperitoneal Shunt for the Treatment of Pseudotumor Cerebri
Neurol 46:1524-1530, Eggenberger,E.R.,et al, 1996
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Article Abstract
We conducted a retrospective study of 27 patients with pseudotumor cerebri (PTC)treated with at least one lumboperitoneal shunt(LPS)to ascertain the efficacy of this treatment.The average duration of followup for this population was 77 months(median 47 months)with a range of 21 to 278 months.A functioning LPS was successful in alleviating symptoms in all patients studied,and no patient with a functioning shunt complained of shunt-related symptoms such as low pressure headache or abdominal pain within two months after the shunt was performed.Twelve patients(44%) required no revisions.The number of revisions among the 15 patients(56%) who required them ranged from 1(5 patients)to 13(1 patient).Three of these patients required 35 of the 66 total shunt revisions(53%).There were no major complications from LPS,other than failure of the shunt,even in patients who required multiple shunts.We conclude that placement of a lumboperitoneal shunt is satisfactory treatment for the majority of patients with PTC who require surgical therapy for the disorder,even though some patients ultimately require multiple shunt revisions.
 
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intracranial hypertension,benign
shunt procedure,lumboperitoneal
shunt procedure,lumboperitoneal-complications of
treatment of neurologic disorder

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