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Complications of Ventriculoperitoneal Shunt for Idiopathic Intracranial Hypertension: A Single-Institution Study of 32 Patients.

Anthony J Brune, Taania Girgla, Jonathan D Trobe,

BACKGROUND:Because there are no head-to-head studies of the efficacy of surgical options in the treatment of medically-intractable idiopathic intracranial hypertension (IIH), procedure selection is often based on expected complications. Cerebrospinal fluid (CSF) diversion by shunting has been reported to have a 23%-67% rate of shunt failure. But these figures derive ... Read more >>

J Neuroophthalmol (Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society)
[2020, :]

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Secondary deterioration in patients with normal pressure hydrocephalus after ventriculoperitoneal shunt placement: a proposed algorithm of treatment.

Pawel Gutowski, Sergej Rot, Michael Fritsch, Ullrich Meier, Leonie Gölz, Johannes Lemcke,

BACKGROUND:After ventriculoperitoneal shunt surgery for idiopathic normal pressure hydrocephalus (iNPH) with adjustable gravitational valves, a certain proportion of patients develop secondary clinical worsening after initial improvement of clinical symptoms. The aim of this study was to analyze this group of patients with secondary deterioration and to evaluate the performed shunt ... Read more >>

Fluids Barriers CNS (Fluids and barriers of the CNS)
[2020, 17(1):18]

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Development of normal pressure hydrocephalus following post-traumatic external hydrocephalus in an adult patient.

Romain Manet, Laurent Gergelé, Thomas Grenier, Zofia H Czosnyka, Marek Czosnyka,

We report the case of 74-year-old patient suspected of post-traumatic external hydrocephalus (EH) following a mild traumatic brain injury with a progressive neurological decline and a concomitant enlargement of subarachnoid spaces without ventriculomegaly on CT scan. A lumbar puncture revealed raised ICP and a careful CSF withdrawal was performed, resulting ... Read more >>

Br J Neurosurg (British journal of neurosurgery)
[2020, :1-4]

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Ventriculoperitoneal Shunts in the Emergency Department: A Review.

Michael Ferras, Nicholas McCauley, Trilok Stead, Latha Ganti, Bobby Desai,

In this paper, we review the indications, complications, and pitfalls associated with ventriculoperitoneal (VP) shunts. As most VP shunt problems initially present to the emergency department, it is important for emergency physicians to be well-versed in managing them. In the article, the possible reasons for shunt failure are explored and ... Read more >>

Cureus (Cureus)
[2020, 12(2):e6857]

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Venous Sinus Stenting for Transverse Sinus Stenosis Associated with Leptomeningeal Carcinomatosis in a Patient with Epidermal Growth Factor Receptor-Mutated Lung Cancer: A Case Report.

Yasuhiro Kawabata, Norio Nakajima, Hidenori Miyake, Yasumasa Yamamoto, Shintaro Toda, Yasuji Terada, Mamoru Takahashi, Masafumi Kurimoto,

BACKGROUND Cerebral venous sinus obstruction associated with leptomeningeal carcinomatosis is an extremely rare complication of advanced non-small-cell lung cancer. There is little information available on the efficacy of therapeutic options because of its rarity and extremely poor prognosis. CASE REPORT A 57-year-old man presented with severe headache, vomiting, and visual ... Read more >>

Am J Case Rep (The American journal of case reports)
[2020, 21:e918488]

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Myotonic dystrophy type 1 accompanied with normal pressure hydrocephalus: a case report and literature review.

Junyang Wang, Ming Liu, Wenjie Shang, Zhongqin Chen, Guoping Peng,

BACKGROUND:Myotonic dystrophy type 1 (DM1) is the most common disease that can cause muscle weakness and atrophy among adults. Normal pressure hydrocephalus (NPH) is characterized by the triad of gait disturbance, cognitive impairment and urinary incontinence. The association between DM1 and NPH is extremely rare. We report a Chinese female ... Read more >>

BMC Neurol (BMC neurology)
[2020, 20(1):53]

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Obstruction of Ventriculoperitoneal Shunt After Myelography-Report of a Unique Case and Its Treatment.

Nicole A Silva, Ira M Goldstein,

BACKGROUND:Myelography, frequently supplanted by noninvasive, efficient magnetic resonance imaging, remains a useful technique when evaluating the spinal canal in nerve root avulsion, radiation therapy treatment planning, cerebrospinal fluid (CSF) loculation, and CSF leak. Myelography is achieved through a lumbar puncture and instillation of nonionic, water-soluble intrathecal iohexol (Omnipaque, GE Healthcare, ... Read more >>

World Neurosurg (World neurosurgery)
[2020, 134:443-447]

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Idiopathic Normal Pressure Hydrocephalus With Stuttering: Report of Two Cases and Review of the Literature.

Pawan Mathew, Lucinda Chiu, Christopher Lee, Rona Carroll, Mark D Johnson,

BACKGROUND:Idiopathic normal pressure hydrocephalus (iNPH) is a disorder of aging that is characterized by enlarged cerebral ventricles, gait apraxia, dementia, and urinary incontinence. iNPH is frequently misdiagnosed, in part because the symptoms resemble other neurological disorders, and because other associated symptoms have not been fully characterized. Importantly, iNPH has not ... Read more >>

World Neurosurg (World neurosurgery)
[2020, 135:176-179]

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Acute HIV Infection Masquerading as Idiopathic Intracranial Hypertension: A Case Report and Literature Review.

Awyshah M Alqahtani, Zaid F Alsaaran, Naif H AlOtaibi, Mazin Barry, Khaldoon AlJerian, Mohammed H Alanazy, Taim A Muayqil,

We describe a previously healthy 21-year-old man who presented acutely with signs and symptoms of raised intracranial pressure (ICP). Lumbar puncture yielded an elevated opening pressure and an acellular CSF analysis. Radiological images showed bilateral flattening of the posterior eye globes and an empty sella turcica. His serum HIV antigen/antibody ... Read more >>

Case Rep Neurol (Case reports in neurology)
[2020, 12(1):56-62]

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Ventriculoperitoneal Shunt Infections Cause Acute Abdomen and Peritonitis: A Case Series.

Stefanie Kaestner, Amina Fraij, Juegen Fass, Wolfgang Deinsberger,

BACKGROUND:Patients with ventriculoperitoneal shunt (VPS) often present to emergency departments with acute abdomen. It is challenging to distinguish between the abdominal problems caused by a VPS and acute surgical abdomen having another cause because VPS infections occasionally cause peritonitis. The frequencies and clinical features of acute abdomen caused by VPS ... Read more >>

J. Surg. Res. (The Journal of surgical research)
[2020, 248:153-158]

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Exploring The Current Management Idiopathic Intracranial Hypertension, And Understanding The Role Of Dural Venous Sinus Stenting.

Sam P Gurney, Sateesh Ramalingam, Alan Thomas, Alex J Sinclair, Susan P Mollan,

Idiopathic Intracranial Hypertension (IIH) is a debilitating disorder characterised by raised intracranial pressure (ICP), papilloedema with the potential risk of permanent visual loss, and headaches that are profoundly disabling and reduce the quality of life. The first consensus guidelines have been published on investigation and management of adult IIH and ... Read more >>

Eye Brain (Eye and brain)
[2020, 12:1-13]

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Cerebral Lupus and Cryptococcal Meningitis in a Pregnant Woman.

Ching Soong Khoo, Marsilla Mariaty Marzukie, Soo Shu Yap, Wan Nur Nafisah Wan Yahya, Hui Jan Tan,

Systemic lupus erythematosus (SLE) is a chronic autoimmune and multisystem disorder, which frequently affects young women. During pregnancy, SLE flares could occur up to 65%, with renal and hematological manifestations being the most common. However, reports on neuropsychiatric lupus in pregnant women are scarce. We herein report a 26-year-old lupus ... Read more >>

J Neurosci Rural Pract (Journal of neurosciences in rural practice)
[2020, 11(1):183-186]

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The CURE Protocol: evaluation and external validation of a new public health strategy for treating paediatric hydrocephalus in low-resource settings.

Jacob R Lepard, Michael C Dewan, Stephanie H Chen, Olufemi B Bankole, John Mugamba, Peter Ssenyonga, Abhaya V Kulkarni, Benjamin C Warf,

Introduction:Managing paediatric hydrocephalus with shunt placement is especially risky in resource-limited settings due to risks of infection and delayed life-threatening shunt obstruction. This study evaluated a new evidence-based treatment algorithm to reduce shunt-dependence in this context. Methods:A prospective cohort design was used. The CURE Protocol employs preoperative and intraoperative data ... Read more >>

BMJ Glob Health (BMJ global health)
[2020, 5(2):e002100]

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Cerebrospinal fluid dynamics in non-acute post-traumatic ventriculomegaly.

Afroditi D. Lalou, Virginia Levrini, Marek Czosnyka, Laurent Gergelé, Matthew Garnett, Angelos Kolias, Peter J. Hutchinson, Zofia Czosnyka,

BackgroundPost-traumatic hydrocephalus (PTH) is potentially under-diagnosed and under-treated, generating the need for a more efficient diagnostic tool. We aim to report CSF dynamics of patients with post-traumatic ventriculomegaly.Materials and methodsWe retrospectively analysed post-traumatic brain injury (TBI) patients with ventriculomegaly who had undergone a CSF infusion test. We calculated the resistance ... Read more >>

Fluids Barriers CNS (Fluids and barriers of the CNS)
[2020, 17:]

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Idiopathic Intracranial Hypertension: The Monster Within.

Aastha Takkar, Vivek Lal,

Idiopathic intracranial hypertension (IIH) is defined as a syndrome of raised intracranial pressure with normal imaging of the brain and cerebrospinal fluid (CSF) composition. There are many controversies and myths that surround IIH. Although patients of IIH may present "typical" symptoms and signs of raised intracranial pressure, clinical scenarios often ... Read more >>

Ann Indian Acad Neurol (Annals of Indian Academy of Neurology)
[2020, 23(2):159-166]

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Noninvasive thermal evaluation for shunt failure in the emergency room.

Jordan Xu, Cassie Poole, Ronald Sahyouni, Jefferson Chen,

Background:Ventriculoperitoneal shunts (VPSs) have been the mainstay of treating hydrocephalus since the 1950s. However, shunts have a reported complication rate reaching nearly 50%. Devices have been developed that utilize noninvasive thermal transcutaneous diffusion technology. These shunt evaluation devices measure temperature gradients to detect shunt cerebrospinal fluid flow. We assessed the ... Read more >>

Surg Neurol Int (Surgical Neurology International)
[2019, 10:254]

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Lumboperitoneal Shunt: A New Modified Surgical Technique and a Comparison of the Complications with Ventriculoperitoneal Shunt in a Single Center.

Tsung-Hsi Yang, Cheng-Siu Chang, Wen-Wei Sung, Jung-Tung Liu,

Background and objectives: Hydrocephalus remains a disease requiring surgical treatment even in the modern era. Ventriculoperitoneal (VP) shunt placement is the most common treatment, whereas lumboperitoneal (LP) shunts are less commonly used due to initial reports of very high rates of complications. In the present study, we retrospectively reviewed our ... Read more >>

Medicina (Kaunas) (Medicina (Kaunas, Lithuania))
[2019, 55(10):]

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A unique strategy for large-bowel perforation with ventriculoperitoneal shunt: Conversion to ventriculoatrial shunt: A case report.

Shota Akabane, Hirokazu Iijima, Yukari Kobayashi, Kazunao Watanabe,

INTRODUCTION:Large-bowel perforation can lead to critical sepsis, and urgent intervention including surgery is indispensable to control systemic infection. Here, we describe a strategy for large-bowel perforation using a ventriculoperitoneal shunt. CASE PRESENTATION:A 74-year-old Japanese female with a history of cerebral aneurysm clipping and ventriculoperitoneal shunting due to aneurysmal subarachnoid hemorrhage ... Read more >>

Int J Surg Case Rep (International journal of surgery case reports)
[2019, 65:148-151]

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Shunt-Bronchial Fistula with Coughing Up and Swallowing of Cerebrospinal Fluid: Rare Complication of Ventriculopleural Shunt.

Gennadiy A Katsevman, Raymond Harron, Sanjay Bhatia,

Background:Erosion of the distal catheter into lung parenchyma is an extremely rare complication of ventriculopleural shunt placement. Case Description:We report a 51-year-old woman with a history of parasagittal meningioma invading the sagittal sinus who presented with recurrent pneumonia after placement of a ventriculopleural shunt. A nuclear study revealed accumulation of ... Read more >>

World Neurosurg X (World neurosurgery: X)
[2020, 5:100065]

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Staphylococcus lugdunensis infection of ventriculoperitoneal shunt in adult: Case report and literature review.

Aroop Mohanty, Mithilesh Kumar Jha, Ankita Kabi, Nisha Jha, Pratima Gupta,

Ventriculoperitoneal Shunt (VPS) placement is one of the most commonly performed treatment modality in patient with hydrocephalus and infection is usually seen in such patients with shunt complication. Multiple shunt revision and its complications are related to various causes including mainly Coagulase negative Staphylococcus (CONS) infection. VPS obstruction occurring in ... Read more >>

J Family Med Prim Care (Journal of family medicine and primary care)
[2019, 8(11):3755-3757]

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Corrigendum: Afatinib for Advanced Non-small Cell Lung Cancer in a Case With an Uncommon Epidermal Growth Factor Receptor Mutation (G719A) Identified in the Cerebrospinal Fluid.

Chunhua Ma, Chuoji Huang, Dongjiang Tang, Xin Ye, Zhi Li, Renzhong Liu, Ning Mu, Jing Li, Rong Jiang, Juncheng Zhang,

[This corrects the article DOI: 10.3389/fonc.2019.00628.]. ... Read more >>

Front Oncol (Frontiers in oncology)
[2019, 9:938]

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Chemokine and Cytokine Cascade Caused by Skewing of the Th1-Th2 Balance Is Associated with High Intracranial Pressure in HIV-Associated Cryptococcal Meningitis.

Lijun Xu, Yongzheng Guo, Yizhou Zhao, Yufan Xu, Xiuming Peng, Zongxing Yang, Ran Tao, Ying Huang, Yan Xu, Yaokai Chen, Biao Zhu,

Purpose:Serum cytokines/chemokines play important roles in cryptococcal meningitis, but it is unclear whether cytokines/chemokines in cerebrospinal fluid (CSF) contribute to high intracranial pressure (HICP) in HIV-associated cryptococcal meningitis (HCM). Methods:CSF cytokines/chemokines were assayed in 17 HIV-uninfected patients, 26 HIV-infected patients without CNS infection, and 39 HCM patients at admission. Principal ... Read more >>

Mediators Inflamm. (Mediators of inflammation)
[2019, 2019:2053958]

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Third ventricle tumor with Bruns sign as the first manifestation: a case report.

Yali Wang, Guomei Ma, Jingzhe Han, Hongmei Wang, Zhilei Kang,

This article reported a case of a third ventricle tumor with Bruns syndrome sudden disturbance of consciousness as the first manifestation, to improve the clinician's understanding and awareness of the fatal signs. A 38-year-old healthy man was admitted to our hospital for a sudden onset coma for 2 hours. Head ... Read more >>

Int J Clin Exp Pathol (International journal of clinical and experimental pathology)
[2019, 12(12):4358-4360]

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Is Magnetic Resonance Imaging Diffusion Restriction of the Optic Disc Head a New Marker for Idiopathic Intracranial Hypertension?

Elanagan Nagarajan, Lakshmi P Digala, Manjamalai Sivaraman, Pradeep C Bollu,

Background Idiopathic intracranial hypertension (IIH) is a headache syndrome due to raised intracranial pressure of unknown etiology. Before making the diagnosis of IIH, secondary causes of raised intracranial pressure must be ruled out. The radiological features associated with this condition have variable sensitivity and specificity. In this case series, we ... Read more >>

J Neurosci Rural Pract (Journal of neurosciences in rural practice)
[2020, 11(1):170-174]

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Abdominal Insufflation Is Associated With Increase of Intracranial Pressure in Patients With Normal Pressure Hydrocephalus.

Adomas Bunevicius, Ashley Vernon, Alexandra Golby,

BACKGROUND:Ventriculoperitoneal shunting (VPS) is effective for the treatment of normal-pressure hydrocephalus (NPH) and sometimes requires laparoscopic assistance with abdominal insufflation. OBJECTIVE:To evaluate the association of abdominal insufflation with opening pressure (OP) in NPH patients undergoing VPS implantation. METHODS:Between March 2016 and April 2019, 52 consecutive patients who underwent first-time VPS ... Read more >>

Oper Neurosurg (Hagerstown) (Operative neurosurgery (Hagerstown, Md.))
[2019, :]

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