Lumbar–Peritoneal Shunt as A Therapeutic AlternativeAfter A Failed Skull Base Defect Repair in A Pediatric Post-Traumatic CSF Leak: A Case ReportAnd Literature Review
DOI:
https://doi.org/10.14419/r82dc246Published
08-02-2026Keywords:
Skull Base Defect; CSF Leak; Lumbar–Peritoneal Shunt; Post-Traumatic Surgery; Therapeutic AlternativeAbstract
Introduction: Cerebrospinal fluid (CSF) leakage secondary to cranial trauma is a rare but serious complication. Surgical repair of the skull base remains the treatment of choice. In cases of surgical failure, placement of a lumbar–peritoneal shunt (LPS) may represent an effective alternative [1], [5], [8], [10]
Case Report: We report the case of a 10-year-old girl who sustained cranial trauma resulting in a skull base fracture and persistent CSF leakage despite initial surgical repair. Placement of a lumbar–peritoneal shunt resulted in complete resolution of the leak without complications.
Discussion: The LPS reduces CSF pressure, thereby facilitating spontaneous closure of the dural defect. This technique is less invasive than repeat surgery and can be used when the initial repair fails [4–15].
Conclusion: Lumbar–peritoneal shunting is a safe and effective therapeutic option for persistent post-traumatic CSF leaks following failed skull base repair.
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