Is the adjustable lumbo-peritoneal shunt a valid option for managing symptomatic idiopathic intracranial hypertension? A case report of a multidisciplinary management

Abstract

Background: Idiopathic intracranial hypertension is a rare disorder, characterized by raised intracranial pressure with no recognizable cause. Headache, decreased visual acuity and papilledema are the main clinical manifestations. Case description: A case of a 27-year-old obese woman affected by idiopathic intracranial hypertension is reported. She was initially treated conservatively, but, due to severe headache refractory to medical therapy, an adjustable lumbo-peritoneal shunt was implanted. Conclusion: Gold standard treatment of idiopathic intracranial hypertension is not defined yet, but the lumbo-peritoneal shunt could represent a valid option for managing the disease in properly selected patients. Keywords: Lumbo-peritoneal shunt, Idiopathic intracranial hypertension, Pseudotumor cerebri