Visual Deterioration and Herniation of the Anterior Cerebral Artery: Unusual Presentation of an Empty Sella Syndrome Complicating Decompression of a Rathke Cleft Cyst

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Title Visual Deterioration and Herniation of the Anterior Cerebral Artery: Unusual Presentation of an Empty Sella Syndrome Complicating Decompression of a Rathke Cleft Cyst
Creator Laxminadh Sivaraju, MCh; Sumit Thakar, Mch; Alangar S. Hegde, MCh, PhD
Affiliation Departments of Neurosurgery (LS, ST, ASH), Sri Sathya Sai Institute of Higher Medical Sciences, Whitefield, Bangalore, India
Abstract A 33-year-old woman presented with severe visual loss from fulminant idiopathic intracranial hypertension. Her lumbar puncture opening pressure was 97 cm H2O. Soon after lumboperitoneal shunt surgery, she had a generalized tonic-clonic seizure. Magnetic resonance imaging demonstrated frontal subarachnoid hemorrhage (SAH) and neuroimaging findings consistent with posterior reversible encephalopathy syndrome (PRES). We hypothesize that an abrupt drop in intracranial pressure after lumboperitoneal shunting led to maladjustment of cerebral vascular autoregulation, which caused SAH and PRES.
Subject Adult; Female; Humans; Intracranial Pressure; Magnetic Resonance Imaging; Posterior Leukoencephalopathy Syndrome; Postoperative Complications; Pseudotumor Cerebri; Subarachnoid Hemorrhage; Ventriculoperitoneal Shunt
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Date 2016-06
Language eng
Format application/pdf
Type Text
Publication Type Journal Article
Source Journal of Neuro-Ophthalmology, June 2016, Volume 36, Issue 2
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/s6x67gds
Setname ehsl_novel_jno
ID 1276492
Reference URL https://collections.lib.utah.edu/ark:/87278/s6x67gds
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