Lumboperitoneal shunt in a patient with Behçet's disease with medically refractory intracranial hypertension.
A 21-year-old male presented with severe throbbing headache, nausea, vomiting and progressive visual loss. Clinical examination revealed bilateral papilledema and left abducens nerve palsy. MRI showed findings consistent with dural sinus thrombosis. Combinging the clinical findings, MRI and a positive pathergy test, the patient was diagnosed with dural sinus thrombosis associated with Behçet's disease (BD). Despite acetazolamide, prednisone, azathioprine and repeated lumbar punctures, his signs and symptoms of intracranial hypertension gradually worsened. Therefore, lumboperitoneal shunting was planned after which rapid resolution of intracranial hypertension was observed. After reviewing similar reports, we suggest that lumboperitoneal shunt placement can be an effective treatment for patients with BD with medically refractory intracranial hypertension associated with dural sinus thrombosis.
Department of Neurology, Meram School of Medicine, Selcuk University, Noroloji AD, Meram 42080, Konya, Turkey. eapaydindogan@yahoo.com
Ebru Apaydın
EA
Dogan
Banu Turgut
BT
Ozturk
Muzaffer
M
Mutluer
Gulce Unal
GU
Yıldız
Emine
E
Genc
Betigul
B
Yuruten
Yalcın
Y
Kocaogullar
D001528:Behcet Syndrome / Q000150:complications* / Q000601:surgery*; D002557:Cerebrospinal Fluid Shunts; D006801:Humans; D019586:Intracranial Hypertension / Q000209:etiology* / Q000601:surgery*; D008297:Male; D010211:Papilledema / Q000209:etiology / Q000601:surgery; D012851:Sinus Thrombosis, Intracranial / Q000209:etiology / Q000601:surgery; D013129:Spinal Puncture; D055815:Young Adult