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Ventriculoperitoneal shunting for idiopathic intracranial hypertension

From the Neuro-Ophthalmology Unit (Drs. G. Bynke and H. Bynke), Department of Ophthalmology, and Department of Neurosurgery (Drs. Zemack and Romner), Division of Neurological Sciences, Lund University Hospital, Sweden.

Address correspondence and reprint requests to Dr. G. Bynke, University Eye Clinic, S-221 85 Lund, Sweden; e-mail: gunnel.bynke{at}skane.se

Seventeen patients treated with ventriculoperitoneal shunt (VPS) for idiopathic intracranial hypertension (IIH) were followed up for 1.8 to 12.8 years (mean 6.5 years). The ventricular catheter was inserted without any guidance device. VPS was effective on all clinical manifestations of IIH. Seven patients required one or two (a total of nine) surgical revisions. The revision rate was significantly less than in two similar series of patients treated with lumboperitoneal shunt.

Received March 3, 2003. Accepted in final form May 27, 2004.

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