Τίτλος:
Visual loss after treatment for idiopathic intracranial hypertension with lumboperitoneal shunting
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Both idiopathic intracranial hypertension and intracranial cerebrospinal fluid hypotension, spontaneous or iatrogenic, display visual disturbances, including visual loss, visual field deficit, transient visual obscurations, and diplopia. We present a case of a long-standing idiopathic intracranial hypertension, primarily manifesting with visual disturbances and documented pre-existing concentric visual field deficit, treated with a lumboperitoneal shunt after conservative treatment failure, leading to an unexpected exacerbation of visual field deficit and acute visual loss, probably due to shunt catheter malfunction and subsequent intracranial hypotension. We provide a step-by-step documentation of cerebrospinal fluid volume and consequent intracranial pressure fluctuations effect on visual field alterations over a significant period of time, attempting an insight on pathogenetic mechanisms implicated in the relationship between intracranial pressure and optic nerve functionality. Interdepartmental collaboration in such cases could ensure prompt diagnosis and treatment, leading to the possibility of either halting the progression or even reversing established visual loss, sparing our patients from a lifetime disability and improving their quality of life. © The Author(s) 2020.
Συγγραφείς:
Androu, A.
Alonistiotis, D.
Isaakidis, D.
Ananikas, K.
Stavrakas, P.
Περιοδικό:
European Journal of Ophthalmology
Εκδότης:
SAGE Publications Ltd
Λέξεις-κλειδιά:
acetazolamide, adult; Article; best corrected visual acuity; blindness; body weight loss; brain vein; case report; cerebrospinal fluid analysis; clinical article; conservative treatment; cranial nerve paralysis; disease exacerbation; drug dose increase; female; headache; hemianopia; human; hypotension; idiopathic intracranial hypertension; intracranial hypotension; intracranial pressure; intraocular pressure; lumbar puncture; middle aged; nausea; neuroophthalmology; nuclear magnetic resonance imaging; ophthalmoscopy; optic nerve disease; papilledema; quality of life; retina detachment; retinal nerve fiber layer thickness; vertigo; visual acuity; visual field; visual field defect; visual impairment; brain pseudotumor; brain ventricle peritoneum shunt; intracranial hypotension; visual disorder, Humans; Intracranial Hypotension; Pseudotumor Cerebri; Quality of Life; Ventriculoperitoneal Shunt; Vision Disorders
DOI:
10.1177/1120672120920208
