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

doi:10.1016/j.jocn.2005.08.008

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

J Clin Neurosci. 2006 Jun;13(5):598-602. doi: 10.1016/j.jocn.2005.08.008. Epub 2006 May 5.

Authors

E R Ransom¹, R J Komotar, J Mocco, E S Connolly, K J Mullins

Affiliation

¹ 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.

PMID: 16678427
DOI: 10.1016/j.jocn.2005.08.008

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.

Publication types

Case Reports
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

MeSH terms

Cerebrospinal Fluid Rhinorrhea / diagnosis*
Cerebrospinal Fluid Rhinorrhea / etiology*
Cerebrospinal Fluid Shunts / adverse effects*
Diagnosis, Differential
Female
Humans
Middle Aged
Pseudotumor Cerebri / diagnosis*
Pseudotumor Cerebri / etiology*