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January2012 Vol.49 Issue:        1        Table of Contents
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Accuracy and Effectiveness of Stereotactic Ventricular Catheter Placement for Refractory Idiopathic Intracranial Hypertension

Ahmed Shakal, Ashraf Farid, Ibrahim Shafik

Department of Neurosurgery, Tanta University; Egypt


Background: Lumboperitoneal shunting is the mainstay of neurosurgical management for idiopathic intracranial hypertension. However, recent studies document a high failure rate and complications for this procedure. Ventriculoperitoneal shunts have not been widely used for idiopathic intracranial hypertension because of the difficulty of placing a shunt into normal or small-sized ventricles. Objective: The article aims to evaluate the implication of using stereotactic image–guided ventricular catheter placement in patients with idiopathic intracranial hypertension as an alternative to lumboperitoneal shunting and to assess its outcome. Methods: Stereotactic ventricular catheter placements were performed on eight patients presenting with signs and symptoms of idiopathic intracranial hypertension that was refractory to traditional medical and surgical treatment. Results: All patients underwent ventricular catheter placement using stereotactic image-guided technology. All patients were cannulated with a single pass, and satisfactory catheter placement was confirmed on a postoperative CT scan with concordant patient’s symptoms improvement. All of the patients improved clinically at the last follow-up compared to their preoperative condition. None of the patients experienced intra- or perioperative complications. Two of them underwent stereotactic ventriculoatrial shunts due to defective CSF absorption following multiple lumboperitoneal shunt revision. Conclusions: By reviewing literatures and analyzing our results, we conclude that stereotactically guided ventricular catheter placement is an effective and durable treatment option in many cases of idiopathic intracranial hypertension that are refractory to the traditional medical and surgical approaches. [Egypt J Neurol Psychiat Neurosurg.  2012; 49(1): 75-80]

 Key Words: Idiopathic intracranial hypertension, benign intracranial hypertension, pseudotumor cerebri, stereotactic ventriculoperitoneal shunt.

Correspondence to Ahmed Shakal, Department of Neurosurgery, Tanta University.Tel.: +201111494111      E-mail:

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