Cranial migration of lumboperitoneal shunt: A case report and review of literature

Abstract

Background: Lumboperitoneal shunt is an easy and effective way of managing benign intracranial hypertension (BIH) and other causes of increased intracranial pressure. Yet, it is associated with a relative high failure rate. Proximal migration of the shunt is rare and only few cases have been reported. Case Description: Here, we present a case of a 16-year-old female, diagnosed with BIH, who had a proximal shunt migration 4 months after surgery and was managed conservatively, along with the review of literature. Conclusion: Although it is associated with a high complication rate, lumboperitoneal shunt is very effective in the management of many disorders. One of the most common complications is shunt migration. While many mechanisms explaining shunt migration have been hypothesized, the most important single preventing factor for preventing shunt migration remains proper fixation of the shunt.