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 |
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 |