BACKGROUND: Primary idiopathic intracranial hypertension (PIIH) in children is rare and has a poorly understood pathophysiology. It is characterized by raised intracranial pressure (ICP) in the absence of an identified brain lesion. Diagnosis is usually confirmed by the measurement of a high cerebrospinal fluid (CSF) opening pressure and exclusion of secondary causes of intracranial hypertension. Refractory PIIH may lead to severe visual impairment. The purpose of this study was to evaluate a cranial morcellation decompression (CMD) technique as a new surgical alternative to stabilize intracranial pressure in PIIH. MATERIALS AND METHODS: A literature review was carried out, disclosing only 7 pediatric cases of PIIH treated with surgical skull expansion. In addition, we describe here one case of our own experience treated by CMD. CONCLUSIONS: CMD surgery is a safe and effective option to control refractory PIIH in selected patients.
BACKGROUND:Primary idiopathic intracranial hypertension (PIIH) in children is rare and has a poorly understood pathophysiology. It is characterized by raised intracranial pressure (ICP) in the absence of an identified brain lesion. Diagnosis is usually confirmed by the measurement of a high cerebrospinal fluid (CSF) opening pressure and exclusion of secondary causes of intracranial hypertension. Refractory PIIH may lead to severe visual impairment. The purpose of this study was to evaluate a cranial morcellation decompression (CMD) technique as a new surgical alternative to stabilize intracranial pressure in PIIH. MATERIALS AND METHODS: A literature review was carried out, disclosing only 7 pediatric cases of PIIH treated with surgical skull expansion. In addition, we describe here one case of our own experience treated by CMD. CONCLUSIONS:CMD surgery is a safe and effective option to control refractory PIIH in selected patients.
Authors: Jason A Ellis; Richard C E Anderson; Jonathan O'Hanlon; Robert R Goodman; Neil A Feldstein; Saadi Ghatan Journal: J Neurosurg Pediatr Date: 2012-06-15 Impact factor: 2.375
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Authors: Jordan W Swanson; Tomas S Aleman; Wen Xu; Gui-Shuang Ying; Wei Pan; Grant T Liu; Shih-Shan Lang; Gregory G Heuer; Phillip B Storm; Scott P Bartlett; William R Katowitz; Jesse A Taylor Journal: JAMA Ophthalmol Date: 2017-04-01 Impact factor: 7.389