PT  - JOURNAL ARTICLE
AU  - Alhalal, Ibrahim A.
AU  - Al-Salman, Hashem T.
AU  - Anazi, Abdulrahman H. Al
TI  - Bilateral sixth cranial nerve palsy following lumboperitoneal shunt
AID  - 10.17712/nsj.2022.3.20210140
DP  - 2022 Jul 01
TA  - Neurosciences Journal
PG  - 187--190
VI  - 27
IP  - 3
4099  - http://nsj.org.sa/content/27/3/187.short
4100  - http://nsj.org.sa/content/27/3/187.full
SO  - Neurosciences (Riyadh)2022 Jul 01; 27
AB  - Lumboperitoneal (LP) shunt is considered as a unique procedure in neurosurgical practice. The over drainage of Cerebrospinal fluid (CSF) is considered a usual side effect of the procedure that usually manifests in the form of subdural collection, headache, or nausea and vomiting. However, cranial nerve palsy, particularly abducens nerve palsy, is a rare manifestation of CSF over drainage. We describe our experience with a patient that has developed bilateral sixth nerve palsy followed by LP shunt insertion, with resolution of the symptoms upon removal of the shunt. This shades the light on a rare but significant complication related to Lumboperitoneal (LP) shunt insertion that necessitate the modification in the hardware of valve or insertion technique to decrease the risk of CSF over the drainage.