title: Temporary Lumbar Drain as Treatment for Pediatric Fulminant Idiopathic Intracranial Hypertension.
abstract: Fulminant idiopathic intracranial hypertension (FIIH) is a subtype of idiopathic intracranial hypertension (IIH) characterized by rapid, severe, progressive vision loss. Surgical intervention is often performed either as a cerebrospinal fluid (CSF) shunt procedure or an optic nerve sheath fenestration or, at times, both. These surgical procedures carry a significant risk of morbidity and failure. We present 2 patients in whom a temporary lumbar drain was successfully used in the management of medically undertreated pediatric FIIH, and circumvented the need for surgical intervention.
authors: Departments of Ophthalmology (KJ, EGB, MTB, MAE), Neurology (MTB), and Neurosurgery (CRM), Duke University Medical Center, Durham, North Carolina; Asheville Eye Associates (RW), Asheville, North Carolina; and Department of Otolaryngology (PJ), Washington University School of Medicine Otolaryngology, St. Louis, Missouri.
authors: Kim
authors: K
authors: Jiramongkolchai
authors: Edward G
authors: EG
authors: Buckley
authors: M Tariq
authors: MT
authors: Bhatti
authors: Carrie R
authors: CR
authors: Muh
authors: Robert E
authors: RE
authors: Wiggins
authors: Pawina
authors: P
authors: Jiramongkolchai
authors: Mays A
authors: MA
authors: El-Dairi
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D002557:Cerebrospinal Fluid Shunts / Q000379:methods*; D005260:Female; D006801:Humans; D011559:Pseudotumor Cerebri / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D012165:Retinal Ganglion Cells / Q000473:pathology; D041623:Tomography, Optical Coherence; D015354:Vision, Low / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D014792:Visual Acuity