Intracranial hypotension following lumbar cerebrospinal fluid shunting
ICD-10 G97.83 is a billable code used to indicate a diagnosis of intracranial hypotension following lumbar cerebrospinal fluid shunting.
Intracranial hypotension following lumbar cerebrospinal fluid shunting is a condition characterized by a decrease in intracranial pressure due to the loss of cerebrospinal fluid (CSF) following a lumbar shunt procedure. This condition can lead to a variety of symptoms, including severe headaches, neck pain, and other neurological deficits. The headaches are often orthostatic, worsening when the patient is upright and improving when lying down. Patients may also experience nausea, vomiting, and visual disturbances. The underlying mechanism involves the imbalance between CSF production and absorption, often exacerbated by the shunting procedure. In some cases, patients may develop secondary complications such as hydrocephalus or autonomic dysfunction due to the altered dynamics of CSF circulation. Accurate diagnosis typically involves clinical evaluation, imaging studies, and sometimes lumbar puncture to assess CSF pressure. Management may include conservative measures such as hydration and caffeine intake, or more invasive interventions like blood patching to restore CSF pressure.
Detailed neurological examination findings, history of lumbar shunt procedure, and symptomatology.
Patients presenting with post-operative headaches, dizziness, or visual changes after lumbar shunting.
Ensure clear documentation of the timeline of symptoms in relation to the shunt placement.
Surgical notes detailing the shunt procedure, post-operative care, and any complications encountered.
Patients requiring revision of shunt due to hypotension or related complications.
Document any intraoperative findings that may contribute to post-operative hypotension.
Used when evaluating CSF pressure in patients with suspected intracranial hypotension.
Document indication for lumbar puncture and findings.
Neurology may require additional imaging studies to correlate findings.
Common symptoms include orthostatic headaches, neck pain, nausea, vomiting, and visual disturbances, which typically worsen when the patient is upright.
