Contents | 13 of 35

Issues in the Diagnosis and Management of the Papilledema Shunt

Update Item Information
Title Journal of Neuro-Ophthalmology, September 2014, Volume 34, Issue 3
Date 2014-09
Language eng
Format application/pdf
Type Text
Publication Type Journal Article
Collection Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/
Publisher Lippincott, Williams & Wilkins
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management © North American Neuro-Ophthalmology Society
ARK ark:/87278/s6kh3tdd
Setname ehsl_novel_jno
ID 227634
Reference URL https://collections.lib.utah.edu/ark:/87278/s6kh3tdd

Page Metadata

Title Issues in the Diagnosis and Management of the Papilledema Shunt
Creator Chaudhary, Neeraj; Griauzde, Julius; Gemmete, Joseph J.; Pandey, Aditya S.; Trobe, Jonathan D.
Affiliation Departments of Radiology (Neurointerventional Radiology) (NC, JG, JJG, ASP), Neurosurgery (NC, JJG, ASP), Ophthalmology (JDT), and Neurology (JDT), University of Michigan Health System, Ann Arbor, Michigan
Abstract Dural arteriovenous fistulas (DAVFs) that shunt blood into the transverse or superior sagittal venous sinuses cause papilledema by raising intracranial pressure ("the papilledema shunt"). Such fistulas pose unique diagnostic and therapeutic challenges. Case report and literature review. In a patient presenting with papilledema, non-invasive brain vascular imaging disclosed subtle signs of a DAVF. Digital angiography delineated the DAVF and revealed cortical venous reflux. After three transarterial embolizations with ethylene vinyl alcohol, the DAVF was closed and papilledema resolved. The imaging features of a DAVF that cause papilledema may be subtle on non-invasive vascular imaging. If overlooked, and lumbar puncture is performed, there is a substantial risk of brain herniation. Cortical venous reflux, which may be relatively common in these DAVFs, impels the need for endovascular closure. The transvenous route, often employed for closing cavernous sinus DAVFs, should be avoided because of the dangers of dural venous sinus thrombosis.
Subject Adult; Brain; Coronary Angiography; Disease Management; Embolization, Therapeutic; Female; Humans; Magnetic Resonance Imaging; Papilledema; Tomography Scanners, X-Ray Computed; Vertebral Artery
OCR Text Show
Format application/pdf
Publication Type Journal Article
Collection Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/
Publisher Lippincott, Williams & Wilkins
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management © North American Neuro-Ophthalmology Society
Setname ehsl_novel_jno
ID 227611
Reference URL https://collections.lib.utah.edu/ark:/87278/s6kh3tdd/227611