{"id":"ee317f09-96e5-4b06-bc03-05293e21a403","slug":"treatment-of-delayed-chiari-malformation-and-syringomyelia-after-lumboperitoneal-shunt-placement-case-report-and-treatment-recommendations","title":"Treatment of delayed Chiari malformation and syringomyelia after lumboperitoneal shunt placement: Case report and treatment recommendations","authors":["Analise F. Peleggi","Thomas J. Lovely"],"abstract":"Background: Delayed Chiari malformation with syringomyelia is an uncommon and sparsely reported complication after lumbar cisternal shunting. A number of treatments have been implemented with varying degrees of success. After review of these modalities, a treatment plan was devised and implemented. Case Description: A 15-year-old girl was diagnosed with idiopathic intracranial hypertension (pseudotumor cerebri) and had placement of a Medtronic Spetzler lumboperitoneal shunt. She did well for 10 years and then developed a 3-week history of headache, balance problems, and sensory loss. Workup demonstrated a new Chiari malformation and cervical syrinx. She underwent initial placement of a ventriculoperitoneal shunt, followed by ligation of the lumboperitoneal shunt. She then had a suboccipital decompression and duraplasty. Follow-up at 6 months showed relief of her symptoms and MRI demonstrated resolution of the Chiari malformation and syrinx. Conclusion: Delayed Chiari malformation and/or syringomyelia after lumbar shunting is best treated with placement of a ventricular device and ligation of the lumbar shunt. The Chiari malformation and/or syrinx should be surgically addressed for persistent symptoms or progression of the structural abnormality.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/ee317f09-96e5-4b06-bc03-05293e21a403/featured/hero-1782421010141.png","publishDate":"2012-08-30T00:00:00.000Z","doi":"10.4103/2152-7806.100369","categories":["Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/ee317f09-96e5-4b06-bc03-05293e21a403/pdf"}