Benefit of the Surgical Treatment of the Idiopathic Intracranial Hypertension – a Case Report
Authors:
P. Hlaváčová; E. Vlková
Authors‘ workplace:
Oční klinika FN Brno Bohunice, přednostka prof. MUDr. Eva Vlková, CSc.
Published in:
Čes. a slov. Oftal., 65, 2009, No. 5, p. 195-199
Category:
Case Report
Overview
The patient (woman), 54 years of age, treated for p-ANCA positive vasculitis, hypertension, and thyroid gland hypofunction was referred to our Department due to the decrease of the visual acuity of her left eye. Since the year 2003, she was followed-up in the Department of Neurology due to the idiopathic intracranial hypertension (the opening pressure of the intracranial liquid was 480 –500 mm of H2O column), treated by acetazolamide tablets (Diluran) 1/2 tablet once daily. She was followed-up for the bilateral persistent papilledema by the local ophthalmologist. Due to the progression of the visual acuity loss the decompression (fenestration) of the optic nerve sheath was performed, and the neurosurgeon recommended the lumbo-peritoneal shunting. Adequate indication and choice of the surgical treatment helped to stabilize visual functions.
Key words:
idiopathic intracranial hypertension, intracranial pressure, decompression of the optic nerve, lumbo-peritoneal shunt
Sources
1. Burgett R.A., Purvin V.A., Kawasaki A.: Lumboperitoneal shunting for pseudotumor cerebri. Neurology 1997; 49: 734–739.
2. Corbett J.J., Thompson H.S.: The rational management of idiopathic intracranial hypertension. Arch Neurol. 1989; 46: 1049–1051.
3. Friedman D.I., Jacobson D.M.: Idiopathic Intracranial Hypertension. J Neuro-Ophtalmol 2004; 24: 138–145.
4. Friedman D.I.: Pseudotumor cerebri. Neuro- Ophtalmology for Neurosurgeons 1999;4: 609–621.
5. Kelman S.E., Sergott R.C., Cioffi G.A et al.: Modified optic nerve sheath decompression in patients with functioning lumboperitoneal shunts and progressive visual loss. Ophtalmology 1991; 98: 1449–1453.
6. Rosenberg M.L. et al.: Cerebrospinal fluid diversion procedures in pseudotumor cerebri. Neurology 1993; 43: 1071–1072.
7. Smith J.L.: Whence pseudotumor cerebri? J Clin Neuroophthalmol 1985; 5: 55–56.
8. Spoor T.C., McHenry J.G.: Long-term effectiveness of optic nerve sheath decompression for pseudotumor cerebri. Arch Ophthalmol. 1993; 111: 632–635.
9. Wall M.: Idiopathic intracranial hypertension. Neurol Clin 1991; 9: 73–95.
10. Wall M., George D.: Idiopathic intracranial hypertension: A prospective study of 50 patients. Brain 1991; 114: 155–80.
Labels
OphthalmologyArticle was published in
Czech and Slovak Ophthalmology
2009 Issue 5
Most read in this issue
- Diagnosing of Acanthamoeba Keratitis
- Benefit of the Surgical Treatment of the Idiopathic Intracranial Hypertension – a Case Report
- Current Therapeutic Approach in Non-infectious Uveitis
- Contrast Sensitivity and Higher Order Aberration after Conventional LASIK Treatment