Purpose: To review our experience with optic nerve sheath decompression for pe diatric pseudotumor cerebri. Design: Retrospective chart review. Participants: S eventeen eyes in 12 children younger than 16 years of age...Purpose: To review our experience with optic nerve sheath decompression for pe diatric pseudotumor cerebri. Design: Retrospective chart review. Participants: S eventeen eyes in 12 children younger than 16 years of age. All patients were eit her unresponsive or intolerant to medication. Intervention, Methods, or Testing: An optic nerve sheath fenestration was performed. Main Outcome Measures: Optic nerve appearance, visual acuity, color vision, and visual fields. Results: The a verage age at surgery was 10.1 years of age. The average follow-up was 39.6 mon ths. Headache was the most common presenting symptom. All patients showed improv ement in optic nerve edema. Visual acuity improved or stayed the same in all sur gical eyes (P=0.0078). One patient required a neurosurgical lumbar peritoneal sh unt, and 2 patients required acetazolamide on the last follow-up appointment. N o patient had postoperative infection, loss of vision, or strabismus develop. Fi ve of the patients in this study required sheath decompression on the other eye. Conclusions: Optic nerve sheath decompression in children is safe, and the resu lts are similar to those obtained in adults. Close follow-up is required, becau se 5 of 12 patients in this study required a contralateral optic nerve sheath de compression.展开更多
文摘Purpose: To review our experience with optic nerve sheath decompression for pe diatric pseudotumor cerebri. Design: Retrospective chart review. Participants: S eventeen eyes in 12 children younger than 16 years of age. All patients were eit her unresponsive or intolerant to medication. Intervention, Methods, or Testing: An optic nerve sheath fenestration was performed. Main Outcome Measures: Optic nerve appearance, visual acuity, color vision, and visual fields. Results: The a verage age at surgery was 10.1 years of age. The average follow-up was 39.6 mon ths. Headache was the most common presenting symptom. All patients showed improv ement in optic nerve edema. Visual acuity improved or stayed the same in all sur gical eyes (P=0.0078). One patient required a neurosurgical lumbar peritoneal sh unt, and 2 patients required acetazolamide on the last follow-up appointment. N o patient had postoperative infection, loss of vision, or strabismus develop. Fi ve of the patients in this study required sheath decompression on the other eye. Conclusions: Optic nerve sheath decompression in children is safe, and the resu lts are similar to those obtained in adults. Close follow-up is required, becau se 5 of 12 patients in this study required a contralateral optic nerve sheath de compression.
