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What Causes Headaches, Imbalance, Disturbed Vision And Nausea While Having Idiopathic Intracranial Hypertension?

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Posted on Fri, 19 May 2017
Question: I had ptc in 1997 and had lps installed now shunt is broke and I was dx with chiari malformation.
I'm on oxygen 3 liters 24/7 no one wants to do surgery to remove broken shunt or fix chiari.....
lots of headaches, balance issues vision issues, nausea...what can I do?
doctor
Answered by Dr. Ramesh Kumar (1 hour later)
Brief Answer:
Chiari surgery with very high chances of morbidity or mortality.

Detailed Answer:
Hi,
Thanks for choosing HealthcareMagic for your query.

Idiopathic intracranial hypertension (IIH), sometimes referred to by an old name, "pseudotumor cerebri (PTC)," is a chronic neurological disorder, which can mimic the symptoms of a brain tumor.Shunting has been in practice for the treatment of idiopathic intracranial hypertension (IIH) for many years. The use of a lumboperitoneal shunt is indicated in patients with IIH for whom lifestyle changes and oral medication have not fully relieved the patient’s symptoms.\ In these cases shunting, especially shunting with an adjustable valve, may successfully treat the condition while diminishing associated hypotension (low pressure).Complications following lumboperitoneal (LP) shunting have been reported in 18% to 85% of cases. The need for multiple revision surgeries, development of iatrogenic Chiari malformation, and frequent wound complications have prompted many to abandon this procedure altogether for the treatment of idiopathic benign intracranial hypertension (pseudotumor cerebri), in favor of ventriculoperitoneal (VP) shunting. A direct comparison of the complication rates and health care charges between first-choice LP versus VP shunting is presented.

The only option left for you is XXXXXXX surgery-Chiari surgery. A posterior fossa decompression is a surgical procedure performed to remove the bone at the back of the skull and spine. The dura overlying the tonsils is opened and a patch is sewn to expand the space, similar to letting out the waistband on a pair of pants.Successs rate is around 45% even when performed by best hands.Therefore you have to assure the surgeon that you want to go for it.No surgeon will take this case on his own.

Regards.

Thanks.
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Above answer was peer-reviewed by : Dr. Remy Koshy
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Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2913 Questions

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What Causes Headaches, Imbalance, Disturbed Vision And Nausea While Having Idiopathic Intracranial Hypertension?

Brief Answer: Chiari surgery with very high chances of morbidity or mortality. Detailed Answer: Hi, Thanks for choosing HealthcareMagic for your query. Idiopathic intracranial hypertension (IIH), sometimes referred to by an old name, "pseudotumor cerebri (PTC)," is a chronic neurological disorder, which can mimic the symptoms of a brain tumor.Shunting has been in practice for the treatment of idiopathic intracranial hypertension (IIH) for many years. The use of a lumboperitoneal shunt is indicated in patients with IIH for whom lifestyle changes and oral medication have not fully relieved the patient’s symptoms.\ In these cases shunting, especially shunting with an adjustable valve, may successfully treat the condition while diminishing associated hypotension (low pressure).Complications following lumboperitoneal (LP) shunting have been reported in 18% to 85% of cases. The need for multiple revision surgeries, development of iatrogenic Chiari malformation, and frequent wound complications have prompted many to abandon this procedure altogether for the treatment of idiopathic benign intracranial hypertension (pseudotumor cerebri), in favor of ventriculoperitoneal (VP) shunting. A direct comparison of the complication rates and health care charges between first-choice LP versus VP shunting is presented. The only option left for you is XXXXXXX surgery-Chiari surgery. A posterior fossa decompression is a surgical procedure performed to remove the bone at the back of the skull and spine. The dura overlying the tonsils is opened and a patch is sewn to expand the space, similar to letting out the waistband on a pair of pants.Successs rate is around 45% even when performed by best hands.Therefore you have to assure the surgeon that you want to go for it.No surgeon will take this case on his own. Regards. Thanks.