| The treatment of 'acquired tonsillar herniation' in pseudotumour cerebri. | |
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MedLine Citation:
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PMID: 11272037 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Acquired tonsillar herniation and syrinx formation are recognized complications of a lumboperitoneal shunt used to treat conditions of increased CSF volume. Treatment of this complication is by ventriculoperitoneal shunt or foramen magnum decompression. We describe the first case of acquired tonsillar herniation in a pseudotumour cerebri (following lumboperitoneal shunt insertion) that responded partly to ventriculoperitoneal shunt insertion and more completely to foramen magnum decompression. Our case demonstrates that a ventriculoperitoneal shunt is not always sufficient in treating this complication and reversing visual deterioration. Foramen magnum decompression may therefore be a sight saving procedure in pseudotumour cerebri with acquired tonsillar herniation and may be important in understanding the pathogenesis of conditions of increased CSF volume. |
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Authors:
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A Hart; K David; M Powell |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: British journal of neurosurgery Volume: 14 ISSN: 0268-8697 ISO Abbreviation: Br J Neurosurg Publication Date: 2000 Dec |
Date Detail:
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Created Date: 2001-02-22 Completed Date: 2001-03-29 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8800054 Medline TA: Br J Neurosurg Country: England |
Other Details:
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Languages: eng Pagination: 563-5 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, Queen Square, London WCIN 3BG, UK. Alister.Hart@Virgin.net |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cerebellar Diseases / etiology, surgery* Cerebrospinal Fluid Shunts / adverse effects* Decompression, Surgical / methods Encephalocele / etiology, surgery* Female Humans Pseudotumor Cerebri / surgery* Ventriculoperitoneal Shunt |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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