Pseudotumor cerebri surgery: Difference between revisions
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* hypotesion<ref name="pmid2679506">{{cite journal |vauthors=Corbett JJ, Thompson HS |title=The rational management of idiopathic intracranial hypertension |journal=Arch. Neurol. |volume=46 |issue=10 |pages=1049–51 |date=October 1989 |pmid=2679506 |doi= |url=}}</ref> | * hypotesion<ref name="pmid2679506">{{cite journal |vauthors=Corbett JJ, Thompson HS |title=The rational management of idiopathic intracranial hypertension |journal=Arch. Neurol. |volume=46 |issue=10 |pages=1049–51 |date=October 1989 |pmid=2679506 |doi= |url=}}</ref> | ||
==Surgery== | ==Surgery== | ||
Surgical options are: | |||
== | ==== Optic nerve sheath fenestration ==== | ||
In IIH patients with papilledema, optic nerve sheath fenestration (ONSF) can improve visual loss.(3) | |||
==== Shunting ==== | |||
Ventriculoperitoneal and lumboperitoneal shunting can reduce headaches, diplopia, papilledema and visual loss in IIH patients.(3-61-81-86) | |||
==== Venous sinus stenting ==== | |||
We can perform venous stenting in patients with venous sinus stenosis on cerebral venography. This method can reduce headaches and visual problems.(99-100) | |||
==References== | ==References== | ||
Revision as of 15:26, 30 July 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Indications
Surgery is not the first-line treatment option for patients with pseudotumor cerebri. Surgery is usually reserved for patients with either:
- Progress of visual field loss despite medical treatment with maximum dosage
- Visual acuity loss which is the result of papilledema
- Resistant headache
- hypotesion[1]
Surgery
Surgical options are:
Optic nerve sheath fenestration
In IIH patients with papilledema, optic nerve sheath fenestration (ONSF) can improve visual loss.(3)
Shunting
Ventriculoperitoneal and lumboperitoneal shunting can reduce headaches, diplopia, papilledema and visual loss in IIH patients.(3-61-81-86)
Venous sinus stenting
We can perform venous stenting in patients with venous sinus stenosis on cerebral venography. This method can reduce headaches and visual problems.(99-100)