Lumboperitoneal shunt in a patient with Behcet's disease with medically refractory intracranial hypertension

Küçük Resim Yok

Tarih

2011

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

ELSEVIER SCI LTD

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

A 21-year-old male presented with severe throbbing headache, nausea, vomiting and progressive visual loss. Clinical examination revealed bilateral papilledema and left abducens nerve palsy. MRI showed findings consistent with ducal sinus thrombosis. Combinging the clinical findings, MRI and a positive pathergy test, the patient was diagnosed with dural sinus thrombosis associated with Behcet's disease (BD). Despite acetazolamide, prednisone, azathioprine and repeated lumbar punctures, his signs and symptoms of intracranial hypertension gradually worsened. Therefore, lumboperitoneal shunting was planned after which rapid resolution of intracranial hypertension was observed. After reviewing similar reports, we suggest that lumboperitoneal shunt placement can be an effective treatment for patients with BD with medically refractory intracranial hypertension associated with dural sinus thrombosis. (C) 2010 Elsevier Ltd. All rights reserved.

Açıklama

Anahtar Kelimeler

Behcet's disease, Intracranial hypertension, Lumboperitoneal shunt, Papilledema

Kaynak

JOURNAL OF CLINICAL NEUROSCIENCE

WoS Q Değeri

Q4

Scopus Q Değeri

Q2

Cilt

18

Sayı

3

Künye