Cranial morcellation decompression for refractory idiopathic intracranial hypertension in children

被引：3
作者：
Manzolli Ballestero, Matheus Fernando [1 ]
Teixeira, Thiago Lyrio [1 ]
Augusto, Lucas Pires [1 ]
Funo de Souza, Stephanie Naomi [1 ]
Santos, Marcelo Volpon [1 ]
de Oliveira, Ricardo Santos [1 ]
机构：
[1] Univ Sao Paulo, Ribeirao Preto Med Sch, Univ Hosp, Div Pediat Neurosurg,Dept Surg & Anat, BR-14049900 Ribeirao Preto, Brazil
来源：
CHILDS NERVOUS SYSTEM | 2018年 / 34卷 / 06期
关键词：
Idiopathic intracranial hypertension; Craniotomy; Papilledema; Pseudotumor cerebri; Technique; CEREBROSPINAL-FLUID; PSEUDOTUMOR CEREBRI; PRESSURE; MANAGEMENT; EXPANSION; TUMOR; CRANIOSYNOSTOSIS; SURGERY; PROFILE;
D O I：
10.1007/s00381-018-3766-1
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Primary idiopathic intracranial hypertension (PIIH) in children is rare and has a poorly understood pathophysiology. It is characterized by raised intracranial pressure (ICP) in the absence of an identified brain lesion. Diagnosis is usually confirmed by the measurement of a high cerebrospinal fluid (CSF) opening pressure and exclusion of secondary causes of intracranial hypertension. Refractory PIIH may lead to severe visual impairment. The purpose of this study was to evaluate a cranial morcellation decompression (CMD) technique as a new surgical alternative to stabilize intracranial pressure in PIIH. A literature review was carried out, disclosing only 7 pediatric cases of PIIH treated with surgical skull expansion. In addition, we describe here one case of our own experience treated by CMD. CMD surgery is a safe and effective option to control refractory PIIH in selected patients.
引用
收藏
页码：1111 / 1117
页数：7
相关论文
共 50 条
  • [1] Idiopathic intracranial hypertension: lumboperitoneal shunts versus ventriculoperitoneal shunts - case series and literature review
    Abubaker, Khalid
    Ali, Zulfiqar
    Raza, Kazim
    Bolger, Ciaran
    Rawluk, Daniel
    O'Brien, Donncha
    [J]. BRITISH JOURNAL OF NEUROSURGERY, 2011, 25 (01) : 94 - 99
  • [2] Incidence of Cerebellar Tonsillar Ectopia in Idiopathic Intracranial Hypertension: A Mimic of the Chiari I Malformation
    Aiken, A. H.
    Hoots, J. A.
    Saindane, A. M.
    Hudgins, P. A.
    [J]. AMERICAN JOURNAL OF NEURORADIOLOGY, 2012, 33 (10) : 1901 - 1906
  • [3] Idiopathic intracranial hypertension
    Ball, AK
    Clarke, CE
    [J]. LANCET NEUROLOGY, 2006, 5 (05) : 433 - 442
  • [4] The International Classification of Headache Disorders, 3rd edition (beta version)
    Bes, Andre
    Kunkel, Robert
    Lance, James W.
    Nappi, Giuseppe
    Pfaffenrath, Volker
    Rose, Frank Clifford
    Schoenberg, Bruce S.
    Soyka, Dieter
    Tfelt-Hansen, Peer
    Welch, K. Michael A.
    Wilkinson, Marica
    Olesen, Jes
    Bousser, Marie-Germaine
    Diener, Hans-Christoph
    Dodick, David
    First, Michael
    Goadsby, Peter J.
    Goebel, Hartmut
    Lainez, Miguel J. A.
    Lance, James W.
    Lipton, Richard B.
    Nappi, Giuseppe
    Sakai, Fumihiko
    Schoenen, Jean
    Silberstein, Stephen D.
    Steiner, Timothy J.
    Olesen, Jes
    Bendtsen, Lars
    Dodick, David
    Ducros, Anne
    Evers, Stefan
    First, Michael
    Goadsby, Peter J.
    Hershey, Andrew
    Katsarava, Zaza
    Levin, Morris
    Pascual, Julio
    Russell, Michael B.
    Schwedt, Todd
    Steiner, Timothy J.
    Tassorelli, Cristina
    Terwindt, Gisela M.
    Vincent, Maurice
    Wang, Shuu-Jiun
    Olesen, J.
    Evers, S.
    Charles, A.
    Hershey, A.
    Lipton, R.
    First, M.
    [J]. CEPHALALGIA, 2013, 33 (09) : 629 - 808
  • [5] Idiopathic intracranial hypertension
    Binder, DK
    Horton, JC
    Lawton, MT
    McDermott, MW
    [J]. NEUROSURGERY, 2004, 54 (03) : 538 - 551
  • [6] Has rising pediatric obesity increased the incidence of idiopathic intracranial hypertension in children?
    Bursztyn, Lulu L. C. D.
    Sharan, Sapna
    Walsh, Leah
    LaRoche, G. Robert
    Robitaille, Johane
    De Becker, Inge
    [J]. CANADIAN JOURNAL OF OPHTHALMOLOGY-JOURNAL CANADIEN D OPHTALMOLOGIE, 2014, 49 (01): : 87 - 91
  • [7] THE RATIONAL MANAGEMENT OF IDIOPATHIC INTRACRANIAL HYPERTENSION
    CORBETT, JJ
    THOMPSON, HS
    [J]. ARCHIVES OF NEUROLOGY, 1989, 46 (10) : 1049 - 1051
  • [8] CEREBROSPINAL-FLUID PRESSURE IN NORMAL OBESE SUBJECTS AND PATIENTS WITH PSEUDO-TUMOR CEREBRI
    CORBETT, JJ
    MEHTA, MP
    [J]. NEUROLOGY, 1983, 33 (10) : 1386 - 1388
  • [9] VISUAL-LOSS IN PSEUDO-TUMOR CEREBRI - FOLLOW-UP OF 57 PATIENTS FROM 5 TO 41 YEARS AND A PROFILE OF 14 PATIENTS WITH PERMANENT SEVERE VISUAL-LOSS
    CORBETT, JJ
    SAVINO, PJ
    THOMPSON, HS
    KANSU, T
    SCHATZ, NJ
    ORR, LS
    HOPSON, D
    [J]. ARCHIVES OF NEUROLOGY, 1982, 39 (08) : 461 - 474
  • [10] Intracranial pressure without brain tumor - Diagnosis and treatment
    Dandy, WE
    [J]. ANNALS OF SURGERY, 1937, 106 : 492 - 513
12345