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Updated: Aug 8, 2026

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
Shunt failure in idiopathic intracranial hypertension presenting with spontaneous cerebrospinal fluid leak
E R Ransom1, R J Komotar, J Mocco
1Department 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.
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.
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