Severe Sudden Visual Loss Caused by Pseudotumor Cerebri and Lumboperitoneal Shunt Failure

Severe visual acuity loss associated with pseudotumor cerebri is usually caused by chronic optic disk edema or a retinal abnormality. We treated a woman, with known pseudotumor cerebri treated with a lumboperitoneal shunt, who developed acute pallid optic disk swelling and visual acuity of R.E.: no...

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Veröffentlicht in:American journal of ophthalmology 1996-07, Vol.122 (1), p.129-131
Hauptverfasser: Liu, G.T., Volpe, N.J., Schatz, N.J., Galetta, S.L., Farrar, J.T., Raps, E.C.
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container_end_page 131
container_issue 1
container_start_page 129
container_title American journal of ophthalmology
container_volume 122
creator Liu, G.T.
Volpe, N.J.
Schatz, N.J.
Galetta, S.L.
Farrar, J.T.
Raps, E.C.
description Severe visual acuity loss associated with pseudotumor cerebri is usually caused by chronic optic disk edema or a retinal abnormality. We treated a woman, with known pseudotumor cerebri treated with a lumboperitoneal shunt, who developed acute pallid optic disk swelling and visual acuity of R.E.: no light perception and L.E.: 20/70 in association with lumboperitoneal shunt failure. There were no contributory retinal lesions. The patient underwent optic nerve sheath fenestration and lumboperitoneal shunt revision. Visual acuity improved to 20/20 in both eyes. The papilledema resolved. The severe sudden visual loss was attributed to axoplasmic stasis and optic nerve ischemia associated with a sudden rise in intracranial pressure.
doi_str_mv 10.1016/S0002-9394(14)71981-6
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subjects Adult
Axonal Transport
Biological and medical sciences
Cerebrospinal Fluid Shunts - adverse effects
Cerebrospinal Fluid Shunts - instrumentation
Equipment Failure
Female
Humans
Intracranial Pressure
Ischemia - etiology
Lumbosacral Region
Medical sciences
Myelin Sheath
Ophthalmology
Optic Nerve - blood supply
Optic Nerve - surgery
Papilledema - etiology
Papilledema - pathology
Peritoneal Cavity
Pseudotumor Cerebri - complications
Pseudotumor Cerebri - surgery
Reoperation
Vision disorders
Vision Disorders - etiology
Visual Acuity
title Severe Sudden Visual Loss Caused by Pseudotumor Cerebri and Lumboperitoneal Shunt Failure
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