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Midline Brain Shift After Hemispheric Surgery: Natural History, Clinical Significance, and Association With Cerebrospinal Fluid Diversion.

H Westley PhillipsCassia A B ManiquisJia-Shu ChenShannon L DubyYasunori NagahamaDavid BergeronGeorge M IbrahimAlexander G WeilAria Fallah
Published in: Operative neurosurgery (Hagerstown, Md.) (2022)
Patients undergoing hemispheric surgery often develop postoperative MLBS, ie, exacerbated by CSF shunting of the ipsilateral surgical cavity, specifically when using lower VOP settings. MLBS exacerbation may be related to overshunting. Severe MLBS is associated with debilitating headaches.
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