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 |
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container_title | American journal of ophthalmology |
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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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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.</description><identifier>ISSN: 0002-9394</identifier><identifier>EISSN: 1879-1891</identifier><identifier>DOI: 10.1016/S0002-9394(14)71981-6</identifier><identifier>PMID: 8659591</identifier><identifier>CODEN: AJOPAA</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>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</subject><ispartof>American journal of ophthalmology, 1996-07, Vol.122 (1), p.129-131</ispartof><rights>1996 Elsevier Inc.</rights><rights>1996 INIST-CNRS</rights><rights>Copyright Elsevier Sequoia S.A. Jul 1996</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c463t-87e78ac342d63b41dacaf6fe1c84b367a402bc163ca751a4eb942741444e2ef53</citedby><cites>FETCH-LOGICAL-c463t-87e78ac342d63b41dacaf6fe1c84b367a402bc163ca751a4eb942741444e2ef53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0002-9394(14)71981-6$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3137136$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8659591$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, G.T.</creatorcontrib><creatorcontrib>Volpe, N.J.</creatorcontrib><creatorcontrib>Schatz, N.J.</creatorcontrib><creatorcontrib>Galetta, S.L.</creatorcontrib><creatorcontrib>Farrar, J.T.</creatorcontrib><creatorcontrib>Raps, E.C.</creatorcontrib><title>Severe Sudden Visual Loss Caused by Pseudotumor Cerebri and Lumboperitoneal Shunt Failure</title><title>American journal of ophthalmology</title><addtitle>Am J Ophthalmol</addtitle><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.</description><subject>Adult</subject><subject>Axonal Transport</subject><subject>Biological and medical sciences</subject><subject>Cerebrospinal Fluid Shunts - adverse effects</subject><subject>Cerebrospinal Fluid Shunts - instrumentation</subject><subject>Equipment Failure</subject><subject>Female</subject><subject>Humans</subject><subject>Intracranial Pressure</subject><subject>Ischemia - etiology</subject><subject>Lumbosacral Region</subject><subject>Medical sciences</subject><subject>Myelin Sheath</subject><subject>Ophthalmology</subject><subject>Optic Nerve - blood supply</subject><subject>Optic Nerve - surgery</subject><subject>Papilledema - etiology</subject><subject>Papilledema - pathology</subject><subject>Peritoneal Cavity</subject><subject>Pseudotumor Cerebri - complications</subject><subject>Pseudotumor Cerebri - surgery</subject><subject>Reoperation</subject><subject>Vision disorders</subject><subject>Vision Disorders - etiology</subject><subject>Visual Acuity</subject><issn>0002-9394</issn><issn>1879-1891</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkNFqFDEUhoModa0-QiGIiF5MnTPJJJOrIovVwoLCquBVyCRnMGVmsiaTQt--2e6yF9706nA43_9z-Ai5gPoSahCftnVdN5Viin8A_lGC6qASz8gKOqkq6BQ8J6sT8pK8Sum2rEJyeUbOOtGqVsGK_NniHUak2-wczvS3T9mMdBNSomuTEzra39MfCbMLS55CpOtC99FTMzu6yVMfdhj9EmYsse3fPC_02vgxR3xNXgxmTPjmOM_Jr-svP9ffqs33rzfrz5vKcsGWqpMoO2MZb5xgPQdnrBnEgGA73jMhDa-b3oJg1sgWDMde8UZy4Jxjg0PLzsn7Q-8uhn8Z06InnyyOo5kx5KRlBw1TUhXw7X_gbchxLr_ppimlQqp9W3uAbCwOIg56F_1k4r2GWu-960fvei9VA9eP3rUouYtjee4ndKfUUXS5vzveTbJmHKKZrU8njAGTwPY1VwcMi7E7j1En63G26HxEu2gX_BOPPABF3J6C</recordid><startdate>19960701</startdate><enddate>19960701</enddate><creator>Liu, G.T.</creator><creator>Volpe, N.J.</creator><creator>Schatz, N.J.</creator><creator>Galetta, S.L.</creator><creator>Farrar, J.T.</creator><creator>Raps, E.C.</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>19960701</creationdate><title>Severe Sudden Visual Loss Caused by Pseudotumor Cerebri and Lumboperitoneal Shunt Failure</title><author>Liu, G.T. ; Volpe, N.J. ; Schatz, N.J. ; Galetta, S.L. ; Farrar, J.T. ; Raps, E.C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c463t-87e78ac342d63b41dacaf6fe1c84b367a402bc163ca751a4eb942741444e2ef53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adult</topic><topic>Axonal Transport</topic><topic>Biological and medical sciences</topic><topic>Cerebrospinal Fluid Shunts - adverse effects</topic><topic>Cerebrospinal Fluid Shunts - instrumentation</topic><topic>Equipment Failure</topic><topic>Female</topic><topic>Humans</topic><topic>Intracranial Pressure</topic><topic>Ischemia - etiology</topic><topic>Lumbosacral Region</topic><topic>Medical sciences</topic><topic>Myelin Sheath</topic><topic>Ophthalmology</topic><topic>Optic Nerve - blood supply</topic><topic>Optic Nerve - surgery</topic><topic>Papilledema - etiology</topic><topic>Papilledema - pathology</topic><topic>Peritoneal Cavity</topic><topic>Pseudotumor Cerebri - complications</topic><topic>Pseudotumor Cerebri - surgery</topic><topic>Reoperation</topic><topic>Vision disorders</topic><topic>Vision Disorders - etiology</topic><topic>Visual Acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, G.T.</creatorcontrib><creatorcontrib>Volpe, N.J.</creatorcontrib><creatorcontrib>Schatz, N.J.</creatorcontrib><creatorcontrib>Galetta, S.L.</creatorcontrib><creatorcontrib>Farrar, J.T.</creatorcontrib><creatorcontrib>Raps, E.C.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, G.T.</au><au>Volpe, N.J.</au><au>Schatz, N.J.</au><au>Galetta, S.L.</au><au>Farrar, J.T.</au><au>Raps, E.C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Severe Sudden Visual Loss Caused by Pseudotumor Cerebri and Lumboperitoneal Shunt Failure</atitle><jtitle>American journal of ophthalmology</jtitle><addtitle>Am J Ophthalmol</addtitle><date>1996-07-01</date><risdate>1996</risdate><volume>122</volume><issue>1</issue><spage>129</spage><epage>131</epage><pages>129-131</pages><issn>0002-9394</issn><eissn>1879-1891</eissn><coden>AJOPAA</coden><abstract>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.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>8659591</pmid><doi>10.1016/S0002-9394(14)71981-6</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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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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