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Updated: Jan 27, 2026
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Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
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Reversible Severe Brainstem Herniation and Obstructive Hydrocephalus from Cystoperitoneal Shunt Overdrainage
Joyce Koueik1, Sarah Kawtharani2, Bermans J Iskandar1
1Department of Neurological Surgery, University of Wisconsin, Madison, Wisconsin, USA.
World Neurosurgery
|April 2, 2019
Summary
Symptomatic intracranial hypotension caused by CSF overdrainage from a cystoperitoneal shunt can lead to obstructive hydrocephalus. Shunt occlusion resolved symptoms, midbrain distortion, and hydrocephalus in this case.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Background:
- Cystoperitoneal shunts are used to treat cerebrospinal fluid (CSF) accumulation.
- Overdrainage of CSF can lead to various neurological complications.
- Intracranial hypotension is a potential complication of CSF shunting procedures.
Observation:
- A patient presented with symptomatic intracranial hypotension.
- The hypotension was secondary to excessive CSF drainage via a cystoperitoneal shunt.
- Brain MRI revealed midbrain distortion and cerebral aqueduct occlusion.
Findings:
- The observed midbrain distortion led to obstructive hydrocephalus.
- Symptoms of intracranial hypotension and hydrocephalus were directly linked to shunt function.
- Successful management involved occlusion of the cystoperitoneal shunt.
Implications:
- This case highlights the critical need for careful management of CSF shunt systems.
- Understanding shunt dynamics is crucial for preventing complications like obstructive hydrocephalus.
- Shunt occlusion can be an effective treatment for CSF overdrainage-induced complications.
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