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A case of recurrent flight-induced cerebrospinal fluid shunt overdrainage

D'Antona, Linda; Craven, Claudia Louise; Haq, Huzaifah; Thorne, Lewis; Matharu, Manjit Singh; Toma, Ahmed Kassem; Watkins, Laurence Dale; (2023) A case of recurrent flight-induced cerebrospinal fluid shunt overdrainage. British Journal of Neurosurgery , 37 (1) pp. 112-115. 10.1080/02688697.2022.2066629. Green open access

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Abstract

Shunted patients often complain of headaches after flights. The effect of air travel on shunt systems is unknown. We describe the case of a patient with longstanding hydrocephalus, who suffered flight-induced clinical deterioration and shunt overdrainage in two independent occasions. The patient, clinically stable for 1.5 and 5 years before each episode, reported severe headaches starting during the descent stages of the air travel. On both occasions, brain MRI imaging demonstrated pronounced ventricular size reduction. This case suggests that flight-induced shunt overdrainage can occur and should be suspected in patients with prolonged headaches and/or clinical deterioration triggered by air travel.

Type: Article
Title: A case of recurrent flight-induced cerebrospinal fluid shunt overdrainage
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/02688697.2022.2066629
Publisher version: https://doi.org/10.1080/02688697.2022.2066629
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Air travel, cerebrospinal fluid, hydrocephalus, shunt overdrainage, ventriculoperitoneal shunt
UCL classification: UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Brain Repair and Rehabilitation
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Department of Neuromuscular Diseases
URI: https://discovery.ucl.ac.uk/id/eprint/10152999
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