Document Detail


Absence of hydrocephalus in spite of impaired cerebrospinal fluid absorption and severe intracranial hypertension.
MedLine Citation:
PMID:  3630786     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Four patients are described presenting papilloedema, increased pressure and reduced CSF absorption--caused by either spinal tumours, leptomeningeal carcinomatosis or encephalitis. Remarkably they all had a normal CT without signs of hydrocephalus. A 24-hour intracranial pressure monitoring showed a mean pressure of 30-35 mm Hg, recurrent plateau waves and high occurrence of B waves. Conductance to CSF outflow studied by a constant perfusion test was severely reduced 0.010-0.026 ml min-1 mm Hg-1 (normal greater than 0.12 ml mm Hg-1 min-1). Despite these findings no ventricular enlargement was seen on serial CT scans. The reason therefore remains unknown. Disappearance of papilloedema and a variable clinical improvement followed shunt-insertion.
Authors:
K Hansen; F Gjerris; P S Sørensen
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta neurochirurgica     Volume:  86     ISSN:  0001-6268     ISO Abbreviation:  Acta Neurochir (Wien)     Publication Date:  1987  
Date Detail:
Created Date:  1987-10-09     Completed Date:  1987-10-09     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0151000     Medline TA:  Acta Neurochir (Wien)     Country:  AUSTRIA    
Other Details:
Languages:  eng     Pagination:  93-7     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Absorption
Adult
Cerebrospinal Fluid / metabolism*
Female
Humans
Hydrocephalus / etiology*
Male
Middle Aged
Pseudotumor Cerebri / complications,  physiopathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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