Surgical treatment of benign intracranial hypertension--subtemporal decompression revisited
| Autor: | Laibe A Kessler, Donald H Reigel, Paula M Novelli |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
musculoskeletal diseases
Adult medicine.medical_specialty Visual acuity Adolescent Pseudotumor cerebri Decompression Vision Disorders Visual Acuity Central nervous system disease Refractory medicine Humans Child Retrospective Studies medicine.diagnostic_test Lumbar puncture business.industry Headache Retrospective cohort study medicine.disease Decompression Surgical Cerebrospinal Fluid Shunts Surgery Treatment Outcome Neurology (clinical) Headaches medicine.symptom Intracranial Hypertension business Follow-Up Studies |
| Zdroj: | Surgical neurology. 50(1) |
| ISSN: | 0090-3019 |
| Popis: | BACKGROUND Subtemporal decompression, first advocated by Dandy for the treatment of benign intracranial hypertension or pseudotumor cerebri, has been replaced as a treatment mainstay by medical management using diuretics, steroids, and lumbar puncture. Failure of these forms of treatment has frequently led to insertion of cerebrospinal fluid shunts. METHODS We have retrospectively reviewed the long term outcome of eight patients who were treated by subtemporal decompression (STD) for classical presentations of refractory benign intracranial hypertension. The follow-up period ranged from 8 to 26 years. RESULTS Within 1 month of STD, deterioration in visual fields and acuity resolved in all eight patients. Five of eight patients required CSF diversion procedures after subtemporal decompression to control headaches. No patient experienced recurrent permanent visual deterioration after STD. CONCLUSION STD may be the most effective treatment in both long and short term follow-up to provide lasting relief and prevention of visual morbidity caused by refractory benign intracranial hypertension. |
| Databáze: | OpenAIRE |
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