Importance of Ophthalmological Evaluation in the Conservative Management of Increased Intracranial Pressure from a Ruptured Arachnoid Cyst

被引:1
作者
Lani-Louzada, Rafael [1 ,2 ,3 ]
Castelo Moura, Frederico [1 ]
机构
[1] Univ Estadual Campinas, Dept Ophthalmol & Otorhinolaryngol, Sao Paulo, Brazil
[2] Hosp Gamboa, Dept Ophthalmol, Rio De Janeiro, Brazil
[3] Univ Estadual Campinas, Dept Ophthalmol & Otorhinolaryngol, R Vital Brasil,251 Cidade Univ, BR-13083888 Campinas, SP, Brazil
关键词
Arachnoid cyst; papilloedema; automated perimetry; intracranial hypertension; magnetic resonance imaging; SUBDURAL HYGROMA; NATURAL-HISTORY; PREVALENCE;
D O I
10.1080/01658107.2023.2228398
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Arachnoid cysts (ACs) are cerebrospinal fluid collections between the two layers of the normal arachnoid membrane. Although they are often asymptomatic with a stationary course, eventual complications may occur. Herein, we report the case of a 9-year-old boy who developed bilateral papilloedema secondary to spontaneous rupture of an AC in the left middle cranial fossa. Although the papilloedema worsened during follow-up, his visual field remained bilaterally stable, supporting the expectant management and obviating the potential morbidity associated with neurosurgical intervention. This case report highlights the importance of a multidisciplinary approach to patients with secondary intracranial hypertension, including serial ophthalmological examinations, which provide a useful guide to surgical decision-making.
引用
收藏
页码:348 / 351
页数:4
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