الفهرس 
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Abstract
This study is a comparative prospective randomized control one designed for patients having idiopathic intracranial hypertension (IIH) who were treated by surgical shunting between June 2016 and June 2018. This study aims to compare between the clinical outcomes in IIH patient treated by lumboperitoneal shunt (LP) & stereotactic ventriculoperitoneal shunt (SVP).A total of 40 cases were included, and they were divided into two equal groups; group A which included 20 cases who underwent LP shunt, and group B which included the remaining 20 cases who underwent SVP shunt .All cases were subjected to complete history taking, thorough physical examination, and routine laboratory and radiological investigations. Moreover, the study was approved by the local ethical committee .The mean age of the included cases was 34 and 33.7 years for group A and B respectively. The majority of included cases were females (95% and 90% for both groups respectively), while only one male was included in group A, and two males were included in the other group .Three cases in group A had previous shunting procedure, while only one case in the other group had a previous shunt procedure. None of our cases had previous optic nerve sheath fenestration prior to surgery .Regarding the presenting symptoms, all the cases in the two groups presented with headache and visual disturbances. Both papilledema grade and headache scores did not differ significantly between the two groups .group B had a significantly more prolonged operative time when compared to the other group (p < 0.001). Intraoperative complications were not encountered through the course of our study .The mean length of hospital stay did not differ significantly between the two groups (3.1 vs. 2.9 days for both groups respectively – p = 0.369). Post-operative mortality was not encountered in our study. Wound infection was diagnosed in 2 cases (10%) in group A, while only 1 case only had the same complication in the other group (p = 0.373).In addition, shunt infection and obstruction were not statistically significant between the two groups (p > 0.05), the incidence of shunt migration was strongly associated with group A (5 cases vs. no cases in group B – p = 0.028) and thus, the need for re-shunt was significantly higher for group A (0.0.009).Regarding the follow up of headache post-surgery, group B was superior to group A in the degree of early and late headache improvement. When it comes to papilledema improvement, after one year follow up, group B was significantly better than group A.