Non-operative management of benign intracranial hypertension presenting with complete visual loss and deafness
| Autor: | Matthew T Shokunbi, O.G.B. Nwaorgu, Tunji S Oluleye, O E Idowu, Adefolarin O. Malomo |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
medicine.medical_specialty
Adolescent Hearing loss Vasodilator Agents Deafness Blindness Niacin Spinal Puncture Lumbar Weight loss Weight Loss otorhinolaryngologic diseases medicine Effective treatment Humans Diuretics Pseudotumor Cerebri business.industry General Medicine Recovery of Function Light perception medicine.disease Surgery Acetazolamide Pediatrics Perinatology and Child Health Female Neurology (clinical) Headaches medicine.symptom business medicine.drug |
| Zdroj: | Pediatric neurosurgery. 42(1) |
| ISSN: | 1016-2291 |
| Popis: | Benign intracranial hypertension (BIH) may lead to blindness and rarely deafness. We describe the case of a rapidly deteriorating 14-year-old African girl who presented with headaches associated with complete visual and hearing loss due to BIH. This was managed non-operatively with lumbar cerebrospinal fluid tap, weight reduction, nicotinic acid and acetazolamide. Response to treatment was quite dramatic with resolution of severe headaches and regaining of light perception 8 days after commencing treatment. By 3 months hearing recovered to normal and there was resolution of vision. This to the best of our knowledge is the first reported case of complete visual and hearing loss occurring in a patient with BIH, which was managed successfully non-operatively. When indicated, non-operative management is an effective treatment option even in malignant BIH. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|