A case of recurrent flight-induced cerebrospinal fluid shunt overdrainage. (2nd January 2023)

• Record Type: Journal Article
• Authors: D'Antona, Linda; Craven, Claudia Louise; Haq, Huzaifah; Thorne, Lewis; Matharu, Manjit Singh; Toma, Ahmed Kassem; Watkins, Laurence Dale
• Is Part Of: British journal of neurosurgery. Volume 37:Number 1(2023)
• Page Start: 112
• Page End: 115
• Publication Date: 2023-01-02
• Subjects: Air travel -- cerebrospinal fluid -- hydrocephalus -- shunt overdrainage -- ventriculoperitoneal shunt; Nervous system -- Surgery -- Periodicals; 617.48
• DOI: 10.1080/02688697.2022.2066629
• Languages: English
• ISSNs: 0268-8697

Abstract

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.