Acute disseminated encephalomyelitis surgery: Difference between revisions
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{{Acute disseminated encephalomyelitis}} | {{Acute disseminated encephalomyelitis}} | ||
{{CMG}}; {{AE}} {{Sujaya}} | {{CMG}}; {{AE}} {{Sujaya}} | ||
==Overview== | ==Overview== | ||
[[Surgical]] interventions can be helpful for managing [[complications]] like [[cerebral edema]], [[optic neuritis]] and [[elevated intracranial pressure]]. The options include: | |||
*[[Decompressive hemi-craniectomy]] | |||
*[[Bilteral]] [[optic nerve]] sheath decompression]] | |||
*[[Lumboperitoneal]] [[shunting]] | |||
==Surgery== | ==Surgery== | ||
[[Decompressive hemi-craniectomy]] can be life-saving in patients with massive life-threatening [[cerebral | ===[[Decompressive hemi-craniectomy]]=== | ||
It can be life-saving in patients with massive life-threatening [[cerebral oedema]], refractory to conventional [[therapies]]<ref name="pmid12913218">{{cite journal| author=von Stuckrad-Barre S, Klippel E, Foerch C, Lang JM, du Mesnil de Rochemont R, Sitzer M| title=Hemicraniectomy as a successful treatment of mass effect in acute disseminated encephalomyelitis. | journal=Neurology | year= 2003 | volume= 61 | issue= 3 | pages= 420-1 | pmid=12913218 | doi=10.1212/01.wnl.0000073540.35919.ae | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12913218 }} </ref><ref name="pmid15792531">{{cite journal| author=Refai D, Lee MC, Goldenberg FD, Frank JI| title=Decompressive hemicraniectomy for acute disseminated encephalomyelitis: case report. | journal=Neurosurgery | year= 2005 | volume= 56 | issue= 4 | pages= E872; discussion E871 | pmid=15792531 | doi=10.1227/01.neu.0000156201.46473.a8 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15792531 }} </ref>. | |||
===[[Bilateral]] [[optic nerve]] sheath decompression<ref name="pmid7881525">{{cite journal| author=Ellis BD, Kosmorsky GS, Cohen BH| title=Medical and surgical management of acute disseminated encephalomyelitis. | journal=J Neuroophthalmol | year= 1994 | volume= 14 | issue= 4 | pages= 210-3 | pmid=7881525 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7881525 }} </ref>=== | |||
In combination with [[high-dose]] [[steroids]], it can be employed in patients having profound [[visual loss]] secondary to [[optic neuritis]]. | |||
===[[Lumboperitoneal shunt]]<ref name="pmid7881525">{{cite journal| author=Ellis BD, Kosmorsky GS, Cohen BH| title=Medical and surgical management of acute disseminated encephalomyelitis. | journal=J Neuroophthalmol | year= 1994 | volume= 14 | issue= 4 | pages= 210-3 | pmid=7881525 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7881525 }} </ref>=== | |||
To lower elevated opening pressures on [[lumbar puncture]] | |||
==References== | ==References== | ||
Latest revision as of 08:42, 22 November 2022
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sujaya Chattopadhyay, M.D.[2]
Overview
Surgical interventions can be helpful for managing complications like cerebral edema, optic neuritis and elevated intracranial pressure. The options include:
- Decompressive hemi-craniectomy
- Bilteral optic nerve sheath decompression]]
- Lumboperitoneal shunting
Surgery
Decompressive hemi-craniectomy
It can be life-saving in patients with massive life-threatening cerebral oedema, refractory to conventional therapies[1][2].
Bilateral optic nerve sheath decompression[3]
In combination with high-dose steroids, it can be employed in patients having profound visual loss secondary to optic neuritis.
Lumboperitoneal shunt[3]
To lower elevated opening pressures on lumbar puncture
References
- ↑ von Stuckrad-Barre S, Klippel E, Foerch C, Lang JM, du Mesnil de Rochemont R, Sitzer M (2003). "Hemicraniectomy as a successful treatment of mass effect in acute disseminated encephalomyelitis". Neurology. 61 (3): 420–1. doi:10.1212/01.wnl.0000073540.35919.ae. PMID 12913218.
- ↑ Refai D, Lee MC, Goldenberg FD, Frank JI (2005). "Decompressive hemicraniectomy for acute disseminated encephalomyelitis: case report". Neurosurgery. 56 (4): E872, discussion E871. doi:10.1227/01.neu.0000156201.46473.a8. PMID 15792531.
- ↑ 3.0 3.1 Ellis BD, Kosmorsky GS, Cohen BH (1994). "Medical and surgical management of acute disseminated encephalomyelitis". J Neuroophthalmol. 14 (4): 210–3. PMID 7881525.