Low pressure hydrocephalus (LPH)

Evidence-based neurology checklist on low pressure hydrocephalus (lph): Pathology This is ventriculomegaly with inappropriately low intracranial pressure The intracranial pressure is usually ≤ 5 to 8 cm H2O The symptoms are typical of raised intracranial pressure The symptoms may result from…

Pathology

  • This is ventriculomegaly with inappropriately low intracranial pressure
  • The intracranial pressure is usually ≤ 5 to 8 cm H2O
  • The symptoms are typical of raised intracranial pressure
  • The symptoms may result from brainstem compression by enlarged SCF spaces

Possible pathogenesis

Causes and risk factors

Clinical features

Pang and Altschuler diagnostic criteria

Treatment

Synonyms

Acronym

References

  1. Keough MB, Isaacs AM, Urbaneja G, Dronyk J, Lapointe AP, Hamilton MG. Acute low-pressure hydrocephalus: a case series and systematic review of 195 patients. J Neurosurg 2020 (Online ahead of print).
  2. Hamilton MG, Price AV. Syndrome of inappropriately low-pressure acute hydrocephalus (SILPAH). Acta Neurochir Suppl 2012; 113:155-159.
  3. Duan S, Hu J. Pathogenesis and management of low-pressure hydrocephalus: A narrative review. J Neurol Sci 2024; 460:122988.
  4. Michael AP, Elkouzi A, Elble RJ. Pearls & Oy-sters: Low-pressure hydrocephalus and inadequate shunting. Neurology 2017; 88:e174-e177.
  5. Vilela MD, Pedrosa HA, Mesquita BF, Horiguchi CLF. Low-pressure hydrocephalus and shunt malfunction following a lumbar puncture in an adult reversed by an epidural blood patch. World Neurosurg 2020; 143:56-61.
  6. And 8 more. Subscribe to see the full list

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