Intracranial hypertension after cranial vault decompression for craniosynostosis.

Abstract:

:A 3-year-old boy with chronic papilledema, bilateral coronal synostosis and Pfeiffer syndrome underwent an orbitofrontal advancement. One month postoperatively, his papilledema had resolved, however, his vision progressively deteriorated over the ensuing 3 months to legal blindness. He had no symptoms or signs of increased pressure. Multiple imaging studies were unremarkable except for dilatation of the optic nerve sheaths. A lumbar puncture revealed intracranial hypertension, which resolved after treatment with a lumboperitoneal shunt. Intracranial hypertension may persist after craniofacial reconstruction. In patients who have progressive neurological deterioration after craniofacial reconstruction, direct measurement of intracranial pressure is indicated, despite a lack of clinical signs or symptoms of intracranial hypertension and normal imaging studies.

journal_name

Pediatr Neurosurg

journal_title

Pediatric neurosurgery

authors

Campbell JW,Albright AL,Losken HW,Biglan AW

doi

10.1159/000120913

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

270-3

issue

5

eissn

1016-2291

issn

1423-0305

journal_volume

22

pub_type

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