Case Series of Rapid Surgical Interventions in Fulminant Intracranial Hypertension
| Autor: | Shawn C. Aylward, Jillian Ploof, Catherine O. Jordan, Annie I. Drapeau |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Adolescent Fulminant Time Cohort Studies 03 medical and health sciences 0302 clinical medicine Lumbar Cerebrospinal fluid medicine Humans Papilledema Csf shunt business.industry Cerebrospinal Fluid Shunts Surgery Treatment Outcome Acute Disease Pediatrics Perinatology and Child Health 030221 ophthalmology & optometry Female Neurology (clinical) Intracranial Hypertension medicine.symptom business Surgical interventions 030217 neurology & neurosurgery |
| Zdroj: | Journal of Child Neurology. 36:1047-1053 |
| ISSN: | 1708-8283 0883-0738 |
| Popis: | Aims: Examine ophthalmologic outcomes and complications of lumbar drain and cerebrospinal fluid shunts in pediatric fulminant intracranial hypertension. Methods: Patients under 21 years of age with a diagnosis of fulminant intracranial hypertension with temporary lumbar drain only, shunt after lumbar drain, and shunt only were included. Parameters investigated include lumbar drain data, medication freedom, time to resolution of papilledema, improvement in cranial nerve palsy, afferent pupillary defects, visual fields, visual acuity, and complications of each intervention. Results: Four patients had temporary lumbar drain, 2 temporary lumbar drain and cerebrospinal fluid shunt, and 3 shunt only. All achieved medication freedom and resolution of papilledema and cranial nerve palsies (if present). Most had resolution of preprocedure afferent pupillary defects. Minor residual visual field deficits occurred in 67%, and all had visual acuity improvement. One patient’s lumbar drain dislodged, and one patient had 2 cerebrospinal fluid shunt revisions. Conclusion: Temporary lumbar drain with medical therapy may be a viable first approach to fulminant intracranial hypertension. |
| Databáze: | OpenAIRE |
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