TY - JOUR
T1 - Resolution of papilledema after neurosurgical decompression for primary Chiari I malformation
AU - Vaphiades, Micheal S.
AU - Eggenberger, Eric R.
AU - Miller, Neil R.
AU - Frohman, Larry
AU - Krisht, Ali
N1 - Funding Information:
This work was supported in part by an unrestricted grant from the Research to Prevent Blindness, Inc., New York, NY.
Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2002
Y1 - 2002
N2 - PURPOSE: To report a causal relationship between Chiari I malformation and its rare, but recognized manifestation of bilateral papilledema. DESIGN: Interventional case series. METHODS: Four adult female patients (mean age, 48, age range 25-59 years) with bilateral papilledema, signs and symptoms of increased intracranial pressure, and cranial magnetic resonance imaging (MRI) evidence of a Chiari I malformation ranging from 7 to 22 mm of tonsillar herniation underwent suboccipital decompression. RESULTS: In all four patients, suboccipital decompression was followed by resolution of bilateral papilledema and signs and symptoms of increased intracranial pressure. CONCLUSION: Patients with bilateral papilledema and presumed pseudotumor cerebri require a cranial MRI to determine if they have a Chiari I malformation, because patients with increased intracranial pressure and papilledema from a Chiari I malformation may benefit from suboccipital decompression.
AB - PURPOSE: To report a causal relationship between Chiari I malformation and its rare, but recognized manifestation of bilateral papilledema. DESIGN: Interventional case series. METHODS: Four adult female patients (mean age, 48, age range 25-59 years) with bilateral papilledema, signs and symptoms of increased intracranial pressure, and cranial magnetic resonance imaging (MRI) evidence of a Chiari I malformation ranging from 7 to 22 mm of tonsillar herniation underwent suboccipital decompression. RESULTS: In all four patients, suboccipital decompression was followed by resolution of bilateral papilledema and signs and symptoms of increased intracranial pressure. CONCLUSION: Patients with bilateral papilledema and presumed pseudotumor cerebri require a cranial MRI to determine if they have a Chiari I malformation, because patients with increased intracranial pressure and papilledema from a Chiari I malformation may benefit from suboccipital decompression.
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U2 - 10.1016/S0002-9394(02)01346-6
DO - 10.1016/S0002-9394(02)01346-6
M3 - Article
C2 - 11992865
AN - SCOPUS:0036242999
SN - 0002-9394
VL - 133
SP - 673
EP - 678
JO - American journal of ophthalmology
JF - American journal of ophthalmology
IS - 5
ER -