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Surgical treatment and complications of idiopathic intracranial hypertension – case report (CROSBI ID 628627)

Prilog sa skupa u zborniku | sažetak izlaganja sa skupa | međunarodna recenzija

Đaković, Ivana ; Đuranović, Vlasta ; Franceschi Fatuta, Diana ; Grmoja, Tonći ; Tripalo Batoš, Ana ; Bartolek, Franjo ; Gjurašin, Miroslav ; Jednačak, Hrvoje ; Melada, Ante Surgical treatment and complications of idiopathic intracranial hypertension – case report // 7th Croatian congress of pediatric surgery with international participation, Osijek, October, 7-11th, 2015. Abstracts. 2015

Podaci o odgovornosti

Đaković, Ivana ; Đuranović, Vlasta ; Franceschi Fatuta, Diana ; Grmoja, Tonći ; Tripalo Batoš, Ana ; Bartolek, Franjo ; Gjurašin, Miroslav ; Jednačak, Hrvoje ; Melada, Ante

engleski

Surgical treatment and complications of idiopathic intracranial hypertension – case report

INTRODUCTION: Idiopathic intracranial hypertension (IIH) or pseudotumor cerebri is disorder characterized by increased intracranial pressure, without any obvious underlying cause. Most common symptoms are headache and vomiting, most prominent sign is n. abducens palsy, while fundoscopy reveals papilledema. Treatment is usually conservative, but in serious cases surgical intervention is required, mostly in form of shunting. METHODS: We present a patient in whom IIH occurred after upper respiratory tract infection with mastoiditis that lead to compression of cavernous sinus. Despite polyvalent medicamentous treatment and repeated lumbar punctures, patient had to underwent lumbo-peritoneal shunting which lead to complete remission of symptoms. Two years later control MRI showed development of pseudo-Chiary, protrusion of cerebellar tonsils for 25 mm, which was interpreted as sign of shunt hyperfunction. Patient underwent decompression of posterior fossa, which led to short relief, but soon after uncal herniation appeared, while LP shunt was no longer visible. At that moment patient was in life threatening condition, with high intracranial pressure, severe papilledema and retinal bleeding. Finally, ventriculoperitoneal shunting was performed, but after initial regression of symptoms, headaches and nausea reoccurred. MRI of LS region showed pseudomeningocele at place of former LP shunt. Since last procedure of LS dural plastic, patient is without any symptom for three years now. CONCLUSIONS: Headache is very common symptom, but also can be a sign of life threatening condition of increased intracranial pressure. Targeted neuroradiological examination is important in diagnostic of IIH, and if disorder does not resolve on conservative treatment, surgical intervention is mandatory, despite all possible complications.

idiopathic intracranial hypertension; child

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Podaci o prilogu

2015.

objavljeno

Podaci o matičnoj publikaciji

7th Croatian congress of pediatric surgery with international participation, Osijek, October, 7-11th, 2015. Abstracts

Podaci o skupu

7th Croatian congress of pediatric surgery with international participation, Osijek, October, 7-11th, 2015

poster

07.10.2015-11.10.2015

Osijek, Hrvatska

Povezanost rada

Kliničke medicinske znanosti