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Outcomes of ventriculoperitoneal shunt insertion in the management of idiopathic intracranial hypertension in children

Heyman, James, Ved, Ronak, Amato-Watkins, Anthony, Bhatti, Irfan, te Water Naude, Johann, Gibbon, Frances and Leach, Paul 2017. Outcomes of ventriculoperitoneal shunt insertion in the management of idiopathic intracranial hypertension in children. Child's Nervous System 33 (8) , pp. 1309-1315. 10.1007/s00381-017-3423-0

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Abstract

Purpose The ventriculoperitoneal (VP) shunt has become the procedure of choice for treatment of idiopathic intracranial hypertension (IIH). We aimed to assess the efficacy of frameless stereotactic placement of VP shunts for the management of medically resistant IIH in children and to assess the role of gender and obesity in the aetiology of the condition. Methods This is a retrospective analysis of the case notes of 10 patients treated surgically at the University Hospital of Wales in Cardiff, from May 2006 to September 2012. Results VP shunts were successful in relieving headache, papilloedema and stabilising vision. No sex predilection was identified, and increased BMI was a feature throughout the population, regardless of age. Conclusions Neuronavigated VP shunt insertion is an effective mode of treatment for medically resistant IIH in children. The aetiological picture in children does not seem to be dominated by obesity, as in adults. Literature on childhood IIH is sparse, and larger scale, comparative studies would be of benefit to treating clinicians.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Postgraduate Medical and Dental Education
Uncontrolled Keywords: Paediatric; IIH; VP; Shunt
Publisher: Springer
ISSN: 0256-7040
Date of First Compliant Deposit: 31 January 2018
Date of Acceptance: 19 April 2017
Last Modified: 05 Feb 2020 04:07
URI: http://orca.cf.ac.uk/id/eprint/108611

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