Idiopathic Intracranial Hypertension following Ventriculoperitoneal Shunt Malfunction in Infant Hydrocephalus

• Published in: Kosin Medical Journal (Online) Vol. 36; no. 1; pp. 44 - 50
• Main Authors: Ahn, Sangjun, Lee, Jae Meen, Kim, Young Mi, Jeon, Hyeshin, Choi, Chang Hwa
• Format: Journal Article
• Language: English
• Published: Kosin University College of Medicine 01.12.2021; 고신대학교 의과대학 학술지
• Subjects: idiopathic intracranial hypertension; infant hydrocephalus; ventriculoperitoneal shunt; 의학일반
• ISSN: 2005-9531; 2586-7024
• DOI: 10.7180/kmj.2021.36.1.44

Idiopathic intracranial hypertension (IIH) is a syndrome defined by elevated intracranial pressure without any abnormal findings. In the present study, we report a rare case of IIH in a patient after ventriculoperitoneal shunt (VPS) due to infant hydrocephalus. A 13-year-old girl with a history of VPS due to infant hydrocephalus was admitted to emergency room with the complaint of severe headache and visual disturbance. Brain computed tomography showed normal findings. However, based on the measurement by lumbar puncture, her cerebrospinal fluid (CSF) pressure was observed to be very high. The shunt function test revealed a VPS malfunction. Thus, we conducted VPS revision in this patient. All symptoms improved immediately after the revision. Thus, it is proposed that IIH should be considered for patients with visual disturbance and severe headache after VPS due to infant hydrocephalus without ventriculomegaly.