Pediatric Neurosurgery
Case Report
Seizure as a Manifestation of Intracranial Hypotension in a Shunted PatientAgrawal D. · Durity F.A.Division of Pediatric Neurosurgery, Department of Surgery, University of British Columbia, and Department of Pediatric Surgery, B.C.’s Children’s Hospital, Vancouver, Canada
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Article / Publication Details
Received: February 18, 2005
Accepted: August 08, 2005
Published online: April 21, 2006
Issue release date: April 2006
Number of Print Pages: 3
Number of Figures: 2
Number of Tables: 0
ISSN: 1016-2291 (Print)
eISSN: 1423-0305 (Online)
For additional information: https://www.karger.com/PNE
Abstract
The authors describe a child with a ventriculo-peritoneal shunt in place for 5 years who presented with ‘postural’ seizures (seizures on sitting upright, which resolved on recumbency). On shunt tap, the cerebrospinal fluid was obtained freely, but required gentle aspiration with a syringe in the recumbent position, suggesting very low intracranial pressure. Contrast magnetic resonance imaging showed pachymeningeal enhancement and enlargement of the pituitary gland diagnostic of intracranial hypotension along with well-decompressed ventricles. At the time of revision of the shunt, no evidence of malfunction was found and the valve was changed to one with a higher opening pressure. Following this, she became asymptomatic and seizure free. This case illustrates the fact that following shunting, intracranial hypotension may also predispose to seizures, and should be kept in mind while managing these patients.
© 2006 S. Karger AG, Basel
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References
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External Resources
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Article / Publication Details
Received: February 18, 2005
Accepted: August 08, 2005
Published online: April 21, 2006
Issue release date: April 2006
Number of Print Pages: 3
Number of Figures: 2
Number of Tables: 0
ISSN: 1016-2291 (Print)
eISSN: 1423-0305 (Online)
For additional information: https://www.karger.com/PNE
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