[Filling of optico-ciliary shunt vessels in papilledema: an indicator of pressure in the optic nerve sheath].
BACKGROUND
Optico-ciliary shunt vessels can occur in papilledema. It appears possible that the diameter of these vessels correlates with the pressure in the optic nerve sheath.


METHODS
A 31-year-old woman with pseudotumor cerebri had atrophic papilledema with optico-ciliary shunt vessels at the disc margin. After optic nerve sheath fenestration these vessels collapsed and ultrasonography revealed a decrease in the nerve sheath diameter. Sixteen days later, the optico-ciliary shunt vessels were filled again. Nine hours after lumbar puncture, the optico-ciliary shunt vessels disappeared for 13 hours, but the nerve sheath diameter did not decrease. After acetazolamide, 1g q d, neither the diameter of the optico-ciliary shunt vessels nor that of the nerve sheath decreased.


CONCLUSIONS
The diameter of optico-ciliary shunt vessels may be an indicator of the pressure within the optic nerve sheath.
Lagrèze
W D
WD
Abteilung für Neuroophthalmologie und Schielbehandlung, Universitäts-Augenklinik Freiburg.
Kommerell
G
G
D000328:Adult; D002196:Capillaries / Q000473:pathology; D002924:Ciliary Body / Q000098:blood supply*; D019299:Decompression, Surgical; D005260:Female; D005654:Fundus Oculi; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology*; D009898:Optic Disk / Q000098:blood supply; D009900:Optic Nerve / Q000098:blood supply*; D010211:Papilledema / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D011559:Pseudotumor Cerebri / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D013129:Spinal Puncture
Füllung optikoziliarer Shuntgefässe bei Stauungspapille: ein Indikator für den Druck in der Sehnervenscheide.