Hi.In answer to your question, no, you do not need a shunt straight away. You would first be treated with medicine, usually Diomax. If that is not relieving your symptoms the next step would be lumber punctures to relieve the amount of csf. This would take some time to see if these methods worked first before you would consider a shunt. If you had complications , such as papillodema( swelling of the optic nerve) that might hurry up the decision to have a shunt fitted. There are two types of shunts , a VP shunt and a LP shunt. One would always hope that neither shunt would malfunction!
I have IIH/PTC and have a VP shunt since Dec 08. I hope this answers your question.Cath278.
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