Shunt failure in idiopathic intracranial hypertension presenting with spontaneous cerebrospinal fluid leak

E. R. Ransom, R. J. Komotar, J. Mocco, E. S. Connolly, K. J. Mullins

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

A case of spontaneous cerebrospinal (CSF) fluid leak after ventriculoperitoneal shunt (VPS) failure in a patient with idiopathic intracranial hypertension (IIH) is reported. This is the first report of spontaneous CSF leak in an IIH patient without a history of trauma, sinus surgery, or intracranial surgery. The diagnosis was confirmed using thin-sliced post-contrast computed tomography, which revealed a micro-dehiscence of the cribiform plate at the superior aspect of the ethmoid sinus. The patient underwent VPS revision without complication, resulting in complete amelioration of symptoms and cessation of CSF rhinorrhoea at 1 year follow up.

Original languageEnglish (US)
Pages (from-to)598-602
Number of pages5
JournalJournal of Clinical Neuroscience
Volume13
Issue number5
DOIs
StatePublished - Jun 1 2006
Externally publishedYes

Keywords

  • Cerebrospinal fluid fistula
  • Idiopathic intracranial hypertension
  • Pseudotumor cerebri
  • Shunt failure

ASJC Scopus subject areas

  • Clinical Neurology
  • Psychiatry and Mental health
  • Neurology

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