临时腰大池引流治疗小儿暴发性特发性颅内高压

Temporary Lumbar Drain as Treatment for Pediatric Fulminant Idiopathic Intracranial Hypertension.

作者信息

Jiramongkolchai Kim, Buckley Edward G, Bhatti M Tariq, Muh Carrie R, Wiggins Robert E, Jiramongkolchai Pawina, El-Dairi Mays A

机构信息

Departments of Ophthalmology (KJ, EGB, MTB, MAE), Neurology (MTB), and Neurosurgery (CRM), Duke University Medical Center, Durham, North Carolina; Asheville Eye Associates (RW), Asheville, North Carolina; and Department of Otolaryngology (PJ), Washington University School of Medicine Otolaryngology, St. Louis, Missouri.

出版信息

J Neuroophthalmol. 2017 Jun;37(2):126-132. doi: 10.1097/WNO.0000000000000457.

DOI:10.1097/WNO.0000000000000457

PMID:27787461

Abstract

Fulminant idiopathic intracranial hypertension (FIIH) is a subtype of idiopathic intracranial hypertension (IIH) characterized by rapid, severe, progressive vision loss. Surgical intervention is often performed either as a cerebrospinal fluid (CSF) shunt procedure or an optic nerve sheath fenestration or, at times, both. These surgical procedures carry a significant risk of morbidity and failure. We present 2 patients in whom a temporary lumbar drain was successfully used in the management of medically undertreated pediatric FIIH, and circumvented the need for surgical intervention.

摘要

暴发性特发性颅内高压（FIIH）是特发性颅内高压（IIH）的一种亚型，其特征为迅速、严重且进行性的视力丧失。手术干预通常采用脑脊液（CSF）分流术或视神经鞘开窗术，有时两者都做。这些手术操作存在显著的发病风险和失败风险。我们报告了2例患者，在这2例患者中，临时腰大池引流成功用于治疗药物治疗效果不佳的儿童FIIH，避免了手术干预的必要性。