Pseudotumor cerebri surgery

Revision as of 18:04, 8 August 2018 by Fahimeh Shojaei (talk | contribs)
Jump to navigation Jump to search

Pseudotumor cerebri Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating pseudotumor cerebri from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Interventions

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Pseudotumor cerebri surgery On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Pseudotumor cerebri surgery

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Pseudotumor cerebri surgery

CDC on Pseudotumor cerebri surgery

Pseudotumor cerebri surgery in the news

Blogs on Pseudotumor cerebri surgery

Directions to Hospitals Treating Psoriasis

Risk calculators and risk factors for Pseudotumor cerebri surgery

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:

Surgery

Surgical options are:

Optic nerve sheath fenestration

In IIH patients with papilledema, optic nerve sheath fenestration (ONSF) can improve visual loss.[2]

Shunting

Ventriculoperitoneal and lumboperitoneal shunting can reduce headaches, diplopia, papilledema and visual loss in IIH patients.[2][3][4][5]

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.[6][7]

References

  1. Corbett JJ, Thompson HS (October 1989). "The rational management of idiopathic intracranial hypertension". Arch. Neurol. 46 (10): 1049–51. PMID 2679506.
  2. 2.0 2.1 Biousse V, Bruce BB, Newman NJ (May 2012). "Update on the pathophysiology and management of idiopathic intracranial hypertension". J. Neurol. Neurosurg. Psychiatry. 83 (5): 488–94. doi:10.1136/jnnp-2011-302029. PMC 3544160. PMID 22423118.
  3. Fonseca PL, Rigamonti D, Miller NR, Subramanian PS (October 2014). "Visual outcomes of surgical intervention for pseudotumour cerebri: optic nerve sheath fenestration versus cerebrospinal fluid diversion". Br J Ophthalmol. 98 (10): 1360–3. doi:10.1136/bjophthalmol-2014-304953. PMID 24820047.
  4. Burgett RA, Purvin VA, Kawasaki A (September 1997). "Lumboperitoneal shunting for pseudotumor cerebri". Neurology. 49 (3): 734–9. PMID 9305333.
  5. Lundar T, Nornes H (1990). "Pseudotumour cerebri-neurosurgical considerations". Acta Neurochir Suppl (Wien). 51: 366–8. PMID 2089940.
  6. Ahmed RM, Wilkinson M, Parker GD, Thurtell MJ, Macdonald J, McCluskey PJ, Allan R, Dunne V, Hanlon M, Owler BK, Halmagyi GM (September 2011). "Transverse sinus stenting for idiopathic intracranial hypertension: a review of 52 patients and of model predictions". AJNR Am J Neuroradiol. 32 (8): 1408–14. doi:10.3174/ajnr.A2575. PMID 21799038.
  7. Puffer RC, Mustafa W, Lanzino G (September 2013). "Venous sinus stenting for idiopathic intracranial hypertension: a review of the literature". J Neurointerv Surg. 5 (5): 483–6. doi:10.1136/neurintsurg-2012-010468. PMID 22863980.

Template:WH Template:WS