PMID: 9657496Jul 10, 1998Paper

Surgical treatment of benign intracranial hypertension--subtemporal decompression revisited

Surgical Neurology
L A KesslerD H Reigel

Abstract

Subtemporal decompression, first advocated by Dandy for the treatment of benign intracranial hypertension or pseudotumor cerebri, has been replaced as a treatment mainstay by medical management using diuretics, steroids, and lumbar puncture. Failure of these forms of treatment has frequently led to insertion of cerebrospinal fluid shunts. We have retrospectively reviewed the long term outcome of eight patients who were treated by subtemporal decompression (STD) for classical presentations of refractory benign intracranial hypertension. The follow-up period ranged from 8 to 26 years. Within 1 month of STD, deterioration in visual fields and acuity resolved in all eight patients. Five of eight patients required CSF diversion procedures after subtemporal decompression to control headaches. No patient experienced recurrent permanent visual deterioration after STD. STD may be the most effective treatment in both long and short term follow-up to provide lasting relief and prevention of visual morbidity caused by refractory benign intracranial hypertension.

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Citations

May 8, 2008·Current Neurology and Neuroscience Reports·Michael Wall
Oct 9, 2002·Clinical & Experimental Optometry : Journal of the Australian Optometrical Association·Julie Weier
Dec 10, 1999·Annals of the New York Academy of Sciences·R A Lewis, A J Sumner
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Sep 8, 2016·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·Susan Bell
Oct 30, 2004·Seminars in Ophthalmology·James Goodwin
Mar 5, 2018·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Matheus Fernando Manzolli BallesteroRicardo Santos de Oliveira
Apr 27, 2020·Neurosurgical Review·Aristotelis KalyvasA Patsalides

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