[Influence of intracranial pressure decrease in the pseudotumor cerebri syndrome on visual function].

Area of Science:

• Neurology
• Ophthalmology

Background:

• Intracranial hypertension, also known as pseudotumor cerebri, presents a significant risk for visual impairment.
• Optic nerve head edema (papilledema) is a key indicator of increased intracranial pressure.

Observation:

• A 68-year-old female patient presented with ocular and neurological symptoms attributed to intracranial hypertension.
• Funduscopic examination revealed papilledema, accompanied by reduced visual acuity and visual field defects.

Findings:

• Urgent surgical intervention was performed, involving the placement of a lumboperitoneal shunt.
• Postoperatively, optic nerve head atrophy was noted, but visual acuity was preserved and visual field sensitivity showed improvement.

Implications:

• Lumboperitoneal shunting can be an effective treatment for intracranial hypertension, mitigating severe visual loss.
• Monitoring for optic nerve head changes and visual function is crucial following surgical management.