Idiopathic intracranial hypertension (IIH), also known as pseudotumor cerebri, defined as elevated intracranial pressure with no evident cause found on extensive evaluation. Figures 1 and 2 show bilateral papilledema. Headache is absent in some patients with IIH, especially in the pediatric population.1,2 Abducens nerve palsy is a common finding. Oculomotor palsy (as in our case) and other cran...

Background: CSF leak during or after transsphenoidal surgery is the most common annoying complication that may lead to fatal meningitis. Objective: To define the effectiveness of the external CSF lumbar drain to stop the leak either inserted preoperative, immediate postoperative or delayed postoperative with the same figure of packing to the sella turcica and sphenoid sinus. Methods: We retrosp...

4 Benign intracranial hypertension may occasionally be associated with cranial nerve palsies. Abducens nerve palsies occur in 10 % to 20 % patients with benign intracranial hypertension, other cranial nerve palsies occur much less frequently. We reported a 25-year-old woman benign intracranial hypertension with bilateral seventh nerve palsy. Complete improvement of her cranial nerve palsy was a...

We report a 27-year-old male who presented with headache and rapid visual impairment. He had been diagnosed with venous sinus thrombosis 3 months earlier, when he had diffuse headache, nausea and vomiting, which subsided after incomplete thrombolytic therapy. Warfarin was then prescribed without screening for coagulopathy. Ophthalmic examination revealed bilateral papilloedema, splinter hemorrh...

ventriculoperitoneal (vp) shunt is one of the most common pediatric neurosurgical procedures. it has various complications that may have serious consequences such as shunt dysfunction, and unusual migration. although, migration of shunt catheter to bladder, heart, umbilicus, rectum, pulmonary artery, and stomach has been reported, migration to vagina is a rare one. in this report we present a 1...

Ventriculoperitoneal (VP) shunt is one of the most common pediatric neurosurgical procedures. It has various complications that may have serious consequences such as shunt dysfunction, and unusual migration. Although, migration of shunt catheter to bladder, heart, umbilicus, rectum, pulmonary artery, and stomach has been reported, migration to vagina is a rare one.In this report we present a 16...

A 14 years old boy who had a ventriculo-peritoneal shunt since the age of 5 months, was hospitalized due to headaches, nausea, vomiting and abdominal distension. In abdominal CT and sonographic evaluation, pancreatic pseudocyst or mesentric cyst were suspected. Evaluation of the shunt by radionuclide, however, was diagnostic and revealed a pseudocyst at the peritoneal end of the shunt. Th...

Radionuclide shuntography is a safe and simple method to determine shunt patency and analyze changes in CSF (Cerebro-Spinal-Fluid) flow. We present a case of complicated CSF shunt, in which radioisotopic scan correctly identified disconnection of the shunt tubing system localizing the site of extravasation accurately. The findings were confirmed by surgery performed for correction of the ...