Nerve.  2023 Oct;9(2):189-194. 10.21129/nerve.2023.00339.

Cervical Myelopathy Caused by a Ventriculoperitoneal Shunt: A Case Report

Affiliations
  • 1Department of Neurosurgery, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Republic of Korea

Abstract

Intracranial hypotension is a rare cause of cervical myelopathy. Cerebrospinal fluid (CSF) shunt surgery, which belongs to the broader category of ventriculoperitoneal shunt surgery, is commonly chosen as the primary treatment option for hydrocephalus. However, such surgery can potentially lead to CSF overdrainage, resulting in the occurrence of intracranial hypotension. In the present case, spinal surgery was performed twice for cervical myelopathy; however, there was no improvement in symptoms such as gait disturbance. After the readjustment of the shunt valve pressure, the symptoms improved.

Keyword

Ventriculoperitoneal shunt; Myelopathy; Intracranial hypotension
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