Document Detail


Lumboperitoneal shunt in a patient with Behçet's disease with medically refractory intracranial hypertension.
MedLine Citation:
PMID:  21237657     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A 21-year-old male presented with severe throbbing headache, nausea, vomiting and progressive visual loss. Clinical examination revealed bilateral papilledema and left abducens nerve palsy. MRI showed findings consistent with dural sinus thrombosis. Combinging the clinical findings, MRI and a positive pathergy test, the patient was diagnosed with dural sinus thrombosis associated with Behçet's disease (BD). Despite acetazolamide, prednisone, azathioprine and repeated lumbar punctures, his signs and symptoms of intracranial hypertension gradually worsened. Therefore, lumboperitoneal shunting was planned after which rapid resolution of intracranial hypertension was observed. After reviewing similar reports, we suggest that lumboperitoneal shunt placement can be an effective treatment for patients with BD with medically refractory intracranial hypertension associated with dural sinus thrombosis.
Authors:
Ebru Apaydın Dogan; Banu Turgut Ozturk; Muzaffer Mutluer; Gulce Unal Yıldız; Emine Genc; Betigul Yuruten; Yalcın Kocaogullar
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Publication Detail:
Type:  Journal Article     Date:  2011-01-14
Journal Detail:
Title:  Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia     Volume:  18     ISSN:  1532-2653     ISO Abbreviation:  J Clin Neurosci     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-01-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9433352     Medline TA:  J Clin Neurosci     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  409-11     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Ltd. All rights reserved.
Affiliation:
Department of Neurology, Meram School of Medicine, Selcuk University, Noroloji AD, Meram 42080, Konya, Turkey.
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