Optic nerve sheath fenestration for intracranial hypertension associated with chronic inflammatory demyelinating polyneuropathy.
The authors report a case of papilledema in a 61-year-old woman with chronic demyelinating polyneuropathy. The cerebrospinal fluid protein level was elevated (2.68 to 4.51 g/L), as was the cerebro-spinal fluid opening pressure (27 to 40 cm H2O). A unilateral optic nerve sheath fenestration proved to be effective in preserving vision, and the papilledema resolved completely.
Thomas
Shery
S
Department of Ophthalmology, Leicester Royal Infirmary, Leicester LE1 5WW, U.K. sherythomas@yahoo.co.uk
Tan
Jennifer
J
Lawden
Mark
M
Sampath
Raghavan
R
D002556:Cerebrospinal Fluid Proteins / Q000378:metabolism; D005260:Female; D006801:Humans; D019586:Intracranial Hypertension / Q000134:cerebrospinal fluid / Q000150:complications / Q000601:surgery*; D007427:Intracranial Pressure; D008875:Middle Aged; D009186:Myelin Sheath; D013508:Ophthalmologic Surgical Procedures; D009900:Optic Nerve / Q000601:surgery*; D010211:Papilledema / Q000134:cerebrospinal fluid / Q000209:etiology / Q000601:surgery*; D020277:Polyradiculoneuropathy, Chronic Inflammatory Demyelinating / Q000134:cerebrospinal fluid / Q000150:complications / Q000601:surgery*
D002556:Cerebrospinal Fluid Proteins