I had a lumbar drain installed when I had a pituitary tumor removed. While doing that surgery, they knicked my dura and discovered my IIH the hard way.... they couldn't get a patch to take over the leak and actually stay in place because the pressure was too high. So they put in a drain, and I too, 'passed' the test, and had an LP shunt installed. Unfortunately, mine failed in the first week, as my pressures were still too high, so they went back in and installed a more 'sufficient' one, which I have had since, but it still seems to be pretty hit or miss. The only thing about my drain that scared me, was accidentally pulling out the connector, which was painless when I actually did do it, but scared me! They came right in and fixed it though, no big deal.... it's not really painful, but it does help them find your opening and closing pressures!