Lumboperitoneal shunt in a patient with Behcet's disease with medically refractory intracranial hypertension

Dogan E., Ozturk B. T., Mutluer M., Yildiz G. U., Genc E., Yuruten B., ...Daha Fazla

JOURNAL OF CLINICAL NEUROSCIENCE, cilt.18, sa.3, ss.409-411, 2011 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 18 Sayı: 3
  • Basım Tarihi: 2011
  • Doi Numarası: 10.1016/j.jocn.2010.05.027
  • Dergi Adı: JOURNAL OF CLINICAL NEUROSCIENCE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.409-411
  • Anahtar Kelimeler: Behcet's disease, Intracranial hypertension, Lumboperitoneal shunt, Papilledema, CEREBRAL VENOUS THROMBOSIS, NEUROLOGICAL INVOLVEMENT
  • Akdeniz Üniversitesi Adresli: Hayır

Özet

A 21-year-old male presented with severe throbbing headache, nausea, vomiting and progressive visual loss. Clinical examination revealed bilateral papilledema and left abducens nerve palsy. MRI showed findings consistent with ducal sinus thrombosis. Combinging the clinical findings, MRI and a positive pathergy test, the patient was diagnosed with dural sinus thrombosis associated with Behcet's disease (BD). Despite acetazolamide, prednisone, azathioprine and repeated lumbar punctures, his signs and symptoms of intracranial hypertension gradually worsened. Therefore, lumboperitoneal shunting was planned after which rapid resolution of intracranial hypertension was observed. After reviewing similar reports, we suggest that lumboperitoneal shunt placement can be an effective treatment for patients with BD with medically refractory intracranial hypertension associated with dural sinus thrombosis. (C) 2010 Elsevier Ltd. All rights reserved.