| Visual improvement after optic nerve sheath decompression in a case of congenital hydrocephalus and persistent visual loss despite intracranial pressure correction via shunting. | |
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MedLine Citation:
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PMID: 20551858 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Among the sequelae of persistent raised intracranial pressure (ICP) are ophthalmologic signs and symptoms, including cranial nerve palsies, visual field deficits, papilledema, and vision loss. Elevated pressure within the optic nerve sheath may not be relieved by shunt procedures, which can decrease generalized ICP. The authors present a case of acute visual loss in the setting of chronic hydrocephalus and multiple shunt revisions. Despite shunt correction resolving systemic symptoms of raised ICP, this child had persistent visual loss. Bilateral optic nerve sheath decompression was performed, and the visual acuity improved over the next 3 days. This case highlights the importance of routine ophthalmologic examination in patients with hydrocephalus and shunts and demonstrates the utility of optic nerve sheath decompression as a surgical intervention when shunting alone does not resolve visual loss. |
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Authors:
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Bryant P Carruth; Thomas A Bersani; P Emmet Hurley; Melissa W Ko |
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Publication Detail:
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Type: Case Reports; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Ophthalmic plastic and reconstructive surgery Volume: 26 ISSN: 1537-2677 ISO Abbreviation: Ophthal Plast Reconstr Surg Publication Date: 2010 Jul-Aug |
Date Detail:
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Created Date: 2010-07-21 Completed Date: 2010-09-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8508431 Medline TA: Ophthal Plast Reconstr Surg Country: United States |
Other Details:
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Languages: eng Pagination: 297-8 Citation Subset: IM |
Affiliation:
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Department of Ophthalmology, SUNY Upstate Medical University, Syracuse, New York 13210, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Child, Preschool Decompression, Surgical* Humans Hydrocephalus / physiopathology, surgery* Intracranial Pressure Male Optic Nerve / physiopathology, surgery* Pseudotumor Cerebri / physiopathology, surgery* Ventriculoperitoneal Shunt* Vision Disorders / physiopathology, surgery* Visual Acuity / physiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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