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 language | English |
|---|---|
| Pages (from-to) | 829-831 |
| Number of pages | 3 |
| Journal | Neurosurgery |
| Volume | 37 |
| Issue number | 4 |
| State | Published - 1995 |
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Keywords
- Lumboperitoneal shunting
- Optic nerve sheath decompression
- Pregnancy
- Pseudotumor cerebri
ASJC Scopus subject areas
- Clinical Neurology
- Surgery
Cite this
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 journal › Article
}
TY - JOUR
T1 - Surgical management of pseudotumor cerebri in pregnancy
T2 - Case report
AU - Shapiro, Scott
AU - Yee, R.
AU - Brown, H.
AU - Horwitz, N. H.
AU - Macdonald, R. L.
PY - 1995
Y1 - 1995
N2 - 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.
AB - 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.
KW - Lumboperitoneal shunting
KW - Optic nerve sheath decompression
KW - Pregnancy
KW - Pseudotumor cerebri
UR - http://www.scopus.com/inward/record.url?scp=0029133964&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0029133964&partnerID=8YFLogxK
M3 - Article
VL - 37
SP - 829
EP - 831
JO - Neurosurgery
JF - Neurosurgery
SN - 0148-396X
IS - 4
ER -