Document Detail

Shunt failure in idiopathic intracranial hypertension presenting with spontaneous cerebrospinal fluid leak.
MedLine Citation:
PMID:  16678427     Owner:  NLM     Status:  MEDLINE    
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.
E R Ransom; R J Komotar; J Mocco; E S Connolly; K J Mullins
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2006-05-05
Journal Detail:
Title:  Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia     Volume:  13     ISSN:  0967-5868     ISO Abbreviation:  J Clin Neurosci     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-06-13     Completed Date:  2006-10-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9433352     Medline TA:  J Clin Neurosci     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  598-602     Citation Subset:  IM    
Department of Neurological Surgery, Columbia University, P&S Building, Room 5-454, College of Physicians and Surgeons, 630 West 168th Street, New York, NY 10032, USA.
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MeSH Terms
Cerebrospinal Fluid Rhinorrhea / diagnosis*,  etiology*
Cerebrospinal Fluid Shunts / adverse effects*
Diagnosis, Differential
Middle Aged
Pseudotumor Cerebri / diagnosis*,  etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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