Naslov
Surgical treatment and complications of idiopathic intracranial hypertension – case report

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

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

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

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

Mjesto i datum
Osijek, Hrvatska, 07.10.2015. - 11.10.2015

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
idiopathic intracranial hypertension; child

Sažetak
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.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA