Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Pediatric optic nerve sheath decompression.

Daniel D Thuente1, Edward G Buckley

  • 1Duke University Eye Center, Durham, North Carolina 27710, USA.

Ophthalmology
|April 6, 2005
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Anterior Nasal Superior Oblique Tendon Syndrome: A Case Series.

American journal of ophthalmology·2024
Same author

Creation of an asynchronous faculty development curriculum on well-written narrative assessments that avoid bias.

BMC medical education·2023
Same author

Creating a win-win for the health system and health Profession's education: a direct observation clinical experience with feedback iN real-time (DOCENT) for low acuity patients in the emergency department.

BMC medical education·2022
Same author

Duke University School of Medicine.

Academic medicine : journal of the Association of American Medical Colleges·2021
Same author

Reply.

Ophthalmology·2018
Same author

Is it a match? a novel method of evaluating medical school success.

Medical education online·2018

Optic nerve sheath decompression is a safe and effective treatment for pediatric pseudotumor cerebri, with results comparable to adults. Close monitoring is essential due to potential contralateral involvement.

Area of Science:

  • Ophthalmology
  • Pediatric Neurology
  • Neurosurgery

Background:

  • Pseudotumor cerebri (idiopathic intracranial hypertension) can cause vision loss in children.
  • Medical management is often insufficient or poorly tolerated in pediatric cases.
  • Optic nerve sheath decompression is a surgical option for refractory cases.

Purpose of the Study:

  • To evaluate the efficacy and safety of optic nerve sheath decompression in children with pseudotumor cerebri.
  • To compare outcomes in pediatric patients to established adult data.

Main Methods:

  • Retrospective chart review of 12 children (17 eyes) younger than 16 years.
  • Patients were unresponsive or intolerant to medical therapy.
  • Optic nerve sheath fenestration was performed.

Related Experiment Videos

Main Results:

  • All patients showed improvement in optic nerve edema.
  • Visual acuity improved or remained stable in all surgical eyes (P = 0.0078).
  • Headache was the most common symptom; no major complications occurred. Five patients required contralateral decompression.

Conclusions:

  • Optic nerve sheath decompression is a safe and effective surgical intervention for pediatric pseudotumor cerebri.
  • Outcomes in children mirror those seen in adult populations.
  • Long-term follow-up is crucial due to the possibility of contralateral optic nerve involvement.