Surgical management of pseudotumor cerebri in pregnancy

Case report

Scott Shapiro, R. Yee, H. Brown, N. H. Horwitz, R. L. Macdonald

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

LITTLE HAS BEEN written concerning the surgical treatment of pregnant patients with pseudotumor cerebri. We present four cases of pregnant women who underwent lumboperitoneal shunt placement during pregnancy for progressive visual loss despite maximal medical therapy. The intraperitoneal pressure measured during surgery was significantly less than the cerebrospinal fluid pressure. Three of the four women had marked improvement in their vision after shunting, and one required optic nerve sheath decompressions for improvement. All delivered healthy babies. Pseudotumor cerebri in pregnant patients with progressive visual loss despite medical therapy is surgically treatable, and normal deliveries are expected. Therapeutic abortion to limit progression of the disease is not indicated.

Original languageEnglish
Pages (from-to)829-831
Number of pages3
JournalNeurosurgery
Volume37
Issue number4
StatePublished - 1995

Fingerprint

Pseudotumor Cerebri
Pregnancy
Therapeutic Abortion
Cerebrospinal Fluid Pressure
Optic Nerve
Decompression
Disease Progression
Pregnant Women
Therapeutics
Pressure

Keywords

  • Lumboperitoneal shunting
  • Optic nerve sheath decompression
  • Pregnancy
  • Pseudotumor cerebri

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Shapiro, S., Yee, R., Brown, H., Horwitz, N. H., & Macdonald, R. L. (1995). Surgical management of pseudotumor cerebri in pregnancy: Case report. Neurosurgery, 37(4), 829-831.

Surgical management of pseudotumor cerebri in pregnancy : Case report. / Shapiro, Scott; Yee, R.; Brown, H.; Horwitz, N. H.; Macdonald, R. L.

In: Neurosurgery, Vol. 37, No. 4, 1995, p. 829-831.

Research output: Contribution to journalArticle

Shapiro, S, Yee, R, Brown, H, Horwitz, NH & Macdonald, RL 1995, 'Surgical management of pseudotumor cerebri in pregnancy: Case report', Neurosurgery, vol. 37, no. 4, pp. 829-831.
Shapiro S, Yee R, Brown H, Horwitz NH, Macdonald RL. Surgical management of pseudotumor cerebri in pregnancy: Case report. Neurosurgery. 1995;37(4):829-831.
Shapiro, Scott ; Yee, R. ; Brown, H. ; Horwitz, N. H. ; Macdonald, R. L. / Surgical management of pseudotumor cerebri in pregnancy : Case report. In: Neurosurgery. 1995 ; Vol. 37, No. 4. pp. 829-831.
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