caa a22 4500 60621450X CHVBK 20210128101053.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s00701-015-2600-8 doi (NATIONALLICENCE)springer-10.1007/s00701-015-2600-8 Surgically managed idiopathic intracranial hypertension in adults: a single centre experience [Elektronische Daten] [Samir Matloob, Ahmed Toma, Lewis Thorne, Laurence Watkins] Introduction: Idiopathic intracranial hypertension (IIH) is a rare condition that is often managed conservatively. In patients with aggressive progression of the disease surgical options are considered. There are few data on the outcomes of these patients when surgically managed. We describe our experience of surgically managed IIH and the outcomes of these patients, in particular the surgical revision rate and interventions required for resolution of symptoms. Methods: A retrospective review of all patient files coded with benign intracranial hypertension, idiopathic intracranial hypertension or pseudotumour cerebri was undertaken. Files were searched with the date of diagnosis and the date these patients were referred for surgical intervention. The surgical interventions and complications were then documented and note was made of the number of inpatient admissions and days spent in hospital. Results: From 2000-2013, 79 patients were identified as patients with IIH that had required surgical intervention; 52% required further surgical intervention. The average number of surgical interventions was 5.6. For patients requiring further intervention the average number of surgical interventions was 8.6. On average patients with IIH also spent 42 inpatient days in neurosurgical beds, whilst those patients who required further intervention spent 63days on average in neurosurgical beds. The length of the average individual admission was longer for patients requiring repeated surgical interventions. Conclusion: Based on our experience, patients that require surgical management of IIH frequently require further surgical interventions to control symptoms and manage complications of CSF diversion surgery. Those that require such further intervention on average will have six further operations and spend significantly longer in hospital. Lumboperitoneal (LP) shunting is an effective first line surgical intervention for 52% of our patient cohort. This sub-group of patients therefore requires specialist neurosurgical input for this long-term and challenging pathological process. Springer-Verlag Wien, 2015 Idiopathic intracranial hypertension nationallicence Surgical management nationallicence Hydrocephalus nationallicence Natural history nationallicence Matloob Samir Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, Queen Square, WC1N 3BG, London, UK aut Toma Ahmed Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, Queen Square, WC1N 3BG, London, UK aut Thorne Lewis Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, Queen Square, WC1N 3BG, London, UK aut Watkins Laurence Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, Queen Square, WC1N 3BG, London, UK aut Acta Neurochirurgica Springer Vienna 157/12(2015-12-01), 2099-2103 0001-6268 157:12<2099 2015 157 701 https://doi.org/10.1007/s00701-015-2600-8 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00701-015-2600-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Matloob Samir Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, Queen Square, WC1N 3BG, London, UK aut NATIONALLICENCE 700 1- Toma Ahmed Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, Queen Square, WC1N 3BG, London, UK aut NATIONALLICENCE 700 1- Thorne Lewis Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, Queen Square, WC1N 3BG, London, UK aut NATIONALLICENCE 700 1- Watkins Laurence Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, Queen Square, WC1N 3BG, London, UK aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer Vienna 157/12(2015-12-01), 2099-2103 0001-6268 157:12<2099 2015 157 701