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Temporary Lumbar Drain as Treatment for Pediatric Fulminant Idiopathic Intracranial Hypertension
Kim Jiramongkolchai1, Edward G Buckley, M Tariq Bhatti
1Departments of Ophthalmology (KJ, EGB, MTB, MAE), Neurology (MTB), and Neurosurgery (CRM), Duke University Medical Center, Durham, North Carolina; Asheville Eye Associates (RW), Asheville, North Carolina; and Department of Otolaryngology (PJ), Washington University School of Medicine Otolaryngology, St. Louis, Missouri.
Abstract:
Fulminant idiopathic intracranial hypertension (FIIH) is a subtype of idiopathic intracranial hypertension (IIH) characterized by rapid, severe, progressive vision loss. Surgical intervention is often performed either as a cerebrospinal fluid (CSF) shunt procedure or an optic nerve sheath fenestration or, at times, both. These surgical procedures carry a significant risk of morbidity and failure. We present 2 patients in whom a temporary lumbar drain was successfully used in the management of medically undertreated pediatric FIIH, and circumvented the need for surgical intervention.
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