Management of Pseudotumor Cerebri Secondary to Dural Venous Sinus Thrombosis in Children

Background: The purpose of this study is to follow the clinical course and required management of children suffering from Pseudotumor cerebri (PTC) secondary to Dural Sinus Thrombosis (DST) to understand the natural history of a rare condition and its need for surgery as well as outcome after Cerebr...

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Autores principales: Mohamed M Elsherbini, Hatem Badr, Mohamed Kassem, Amr Farid Khalil
Formato: article
Lenguaje:EN
Publicado: Brazilian Society for Pediatric Neurosurgery 2021
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Acceso en línea:https://doaj.org/article/4494a3f6bffa41ce944ab5df486a6505
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spelling oai:doaj.org-article:4494a3f6bffa41ce944ab5df486a65052021-11-23T21:46:36ZManagement of Pseudotumor Cerebri Secondary to Dural Venous Sinus Thrombosis in Children2675-362610.46900/apn.v3i3(September-December).89https://doaj.org/article/4494a3f6bffa41ce944ab5df486a65052021-08-01T00:00:00Zhttps://www.archpedneurosurg.com.br/pkp/index.php/sbnped2019/article/view/89https://doaj.org/toc/2675-3626Background: The purpose of this study is to follow the clinical course and required management of children suffering from Pseudotumor cerebri (PTC) secondary to Dural Sinus Thrombosis (DST) to understand the natural history of a rare condition and its need for surgery as well as outcome after Cerebro-Spinal Fluid (CSF) diversion surgeries. Methods: A retrospective consecutive case series study based on examining medical records of patients who were referred to neurosurgical pediatric clinic suffering from PTC secondary to DTS. Data review included patients’ archives for clinical, radiological, surgical records and follow up visits. Only patients below 18 years old were included. Results: Fourteen patients met inclusion criteria, 7 of them required CSF diversion procedure, while the other 50% responded to medical conservative therapy. Headache improved immediately for most of the surgical group, while took 7 weeks to reach satisfactory results for medical group. Visual improvement took place for both groups approximately at the same time interval with average 5 weeks. Conclusion: Surgical intervention in the form of CSF diversion procedure was required for 50 % of the patients, which is safe and effective line of treatment to prevent further deterioration of vision for case who were not responsive to medical therapy.Mohamed M ElsherbiniHatem BadrMohamed KassemAmr Farid KhalilBrazilian Society for Pediatric Neurosurgeryarticledural sinus thrombosispseudotumor cerebrilumboperotineal shuntidiopathic intracranial hypertensionPediatricsRJ1-570SurgeryRD1-811ENArchives of Pediatric Neurosurgery, Vol 3, Iss 3(September-December), Pp e892021-e892021 (2021)
institution DOAJ
collection DOAJ
language EN
topic dural sinus thrombosis
pseudotumor cerebri
lumboperotineal shunt
idiopathic intracranial hypertension
Pediatrics
RJ1-570
Surgery
RD1-811
spellingShingle dural sinus thrombosis
pseudotumor cerebri
lumboperotineal shunt
idiopathic intracranial hypertension
Pediatrics
RJ1-570
Surgery
RD1-811
Mohamed M Elsherbini
Hatem Badr
Mohamed Kassem
Amr Farid Khalil
Management of Pseudotumor Cerebri Secondary to Dural Venous Sinus Thrombosis in Children
description Background: The purpose of this study is to follow the clinical course and required management of children suffering from Pseudotumor cerebri (PTC) secondary to Dural Sinus Thrombosis (DST) to understand the natural history of a rare condition and its need for surgery as well as outcome after Cerebro-Spinal Fluid (CSF) diversion surgeries. Methods: A retrospective consecutive case series study based on examining medical records of patients who were referred to neurosurgical pediatric clinic suffering from PTC secondary to DTS. Data review included patients’ archives for clinical, radiological, surgical records and follow up visits. Only patients below 18 years old were included. Results: Fourteen patients met inclusion criteria, 7 of them required CSF diversion procedure, while the other 50% responded to medical conservative therapy. Headache improved immediately for most of the surgical group, while took 7 weeks to reach satisfactory results for medical group. Visual improvement took place for both groups approximately at the same time interval with average 5 weeks. Conclusion: Surgical intervention in the form of CSF diversion procedure was required for 50 % of the patients, which is safe and effective line of treatment to prevent further deterioration of vision for case who were not responsive to medical therapy.
format article
author Mohamed M Elsherbini
Hatem Badr
Mohamed Kassem
Amr Farid Khalil
author_facet Mohamed M Elsherbini
Hatem Badr
Mohamed Kassem
Amr Farid Khalil
author_sort Mohamed M Elsherbini
title Management of Pseudotumor Cerebri Secondary to Dural Venous Sinus Thrombosis in Children
title_short Management of Pseudotumor Cerebri Secondary to Dural Venous Sinus Thrombosis in Children
title_full Management of Pseudotumor Cerebri Secondary to Dural Venous Sinus Thrombosis in Children
title_fullStr Management of Pseudotumor Cerebri Secondary to Dural Venous Sinus Thrombosis in Children
title_full_unstemmed Management of Pseudotumor Cerebri Secondary to Dural Venous Sinus Thrombosis in Children
title_sort management of pseudotumor cerebri secondary to dural venous sinus thrombosis in children
publisher Brazilian Society for Pediatric Neurosurgery
publishDate 2021
url https://doaj.org/article/4494a3f6bffa41ce944ab5df486a6505
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AT mohamedkassem managementofpseudotumorcerebrisecondarytoduralvenoussinusthrombosisinchildren
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