Work

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

Year: 1996

Type: article

Abstract: PURPOSE: Severe vistral acuity loss associated with pseudotumor cerebri is usually caused by chronic optic disk edema or a retinal abnormality. METHODS: We treated a women, with known pseudotumor cerebri treated with a lumboperitoneal shunt, who developed acute pallied 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. RESULTS: The patient underwent optic nerve sheath fenestration and lumboperitoneal shunt revision. Visual acuity improved to 20/20 in both eyes. The papilledema resolved. CONCLUSION: The severe sudden visual loss was attributed to axoplasmic stasis and optic nerve ischemia associated with a sudden rise in intracranial pressure.

Source: American Journal of Ophthalmology

DOI: 10.1016/s0002-9394(14)71981-6

Authors: G.T. Liu, N.J. Volpe, N.J. Schatz, S.L. Galetta, J.T. Farrar, E.C. Raps

Institutions: Children's Hospital of Philadelphia, Hospital of the University of Pennsylvania, University of Pennsylvania

Language: English

Topic: Cerebral Venous Sinus Thrombosis

Subfield: Clinical Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $4,300