Conjunctival oedema as a potential objective sign of intracranial hypertension: a short illustrated review and three case reports
Autor: | Rosalind L. Jeffree, Nicholas Toalster |
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Rok vydání: | 2013 |
Předmět: |
Chemosis
Adult Male medicine.medical_specialty Neurology Intracranial Pressure 610 Medicine & health Cerebrospinal fluid Pregnancy medicine Edema Humans Child Neuroradiology medicine.diagnostic_test business.industry Cranial nerves Interventional radiology Optic Nerve Middle Aged Surgery Optic nerve Drainage Female Neurology (clinical) Neurosurgery medicine.symptom Intracranial Hypertension business |
Zdroj: | Oertel, Markus F. (2013). Comment (on Conjunctival oedema as a potential objective sign of intracranial hypertension: a short illustrated review and three case reports). Acta neurochirurgica, 155(11), p. 2163. Springer 10.1007/s00701-013-1797-7 |
ISSN: | 0942-0940 |
DOI: | 10.1007/s00701-013-1797-7 |
Popis: | Periorbital and conjunctival oedema has been reported anecdotally by patients with raised intracranial pressure states. We present three clinical cases of this phenomenon and discuss the current evidence for pathways by which cerebrospinal fluid (CSF) drains in relation to conjunctival oedema. We reviewed the available literature using PubMed, in regards to conjunctival oedema as it relates to intracranial hypertension, and present the clinical history, radiology and orbital photographs of three cases we have observed. Only one previous publication has linked raised intracranial pressure (ICP) to conjuctival oedema. The weight of evidence supports the observation that the majority of CSF drains along the cranial nerves as opposed to via the arachnoid projections. Conjunctival oedema may be a clinical manifestation of CSF draining via the optic nerve in elevated ICP states. |
Databáze: | OpenAIRE |
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