Lumboperitoneal shunt in a patient with Behçet’s disease with medically refractory intracranial hypertension

Abstract 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...

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Bibliographic Details
Published in:Journal of clinical neuroscience 2011-03, Vol.18 (3), p.409-411
Main Authors: Dogan, Ebru Apaydın, Ozturk, Banu Turgut, Mutluer, Muzaffer, Yıldız, Gulce Unal, Genc, Emine, Yuruten, Betigul, Kocaogullar, Yalcın
Format: Article
Language:English
Subjects:
Behcet Syndrome - complications
Behcet Syndrome - surgery
Behçet’s disease
Cerebrospinal Fluid Shunts
Humans
Intracranial hypertension
Intracranial Hypertension - etiology
Intracranial Hypertension - surgery
Lumboperitoneal shunt
Male
Neurology
Papilledema
Papilledema - etiology
Papilledema - surgery
Sinus Thrombosis, Intracranial - etiology
Sinus Thrombosis, Intracranial - surgery
Spinal Puncture
Young Adult
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Summary:Abstract 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.
ISSN:0967-5868
1532-2653
DOI:10.1016/j.jocn.2010.05.027