COMMENTARY Commentary: Postural Headache Associated with Ventriculo-Peritoneal Shunt Overdrainage: What are Our Options? n 1956, ventricular shunts dramatically on clinical exam data, and papilledema was Anthony Alvarado, MD changed the outcome and quality of life not detected on ocular fundi examination. Jacqueline Boyle, BS I of hydrocephalic patients. Currently, In uncertain cases, an ICP monitor can be the ventriculo-peritoneal (VP) shunt serves considered. We measured the status of postural Derek Martinez, MD as a mainstay of neurosurgical intervention headache following surgical intervention based Anthony M. Avellino, MD, for cerebrospinal fluid (CSF) diversion and on our hypothesis that a shunt assistive device MBA treatment of hydrocephalus. Despite the in children and adults would relieve postural Julian Lin, MD continued development of various valve types, headaches associated with overdrainage. ventricular shunting of CSF continues to This is a retrospective review and has been Department of Neurosurgery, University be associated with numerous complications. approved by the Institutional Review Board of Illinois College of Medicine at Freimann et al reported the incidence of shunt- (IRB) as exempt. Peoria, Peoria, Illinois; Department of Neurosurgery, Illinois Neurological related complications ranging from 3% to 17%, Institute, Peoria, Illinois depending on the target population, and approx- PATIENT
Neurosurgery – Oxford University Press
Published: May 1, 2017
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