Optic Nerve Sheath Decompression Versus High Dose Methyl Prednisolone And Acetazolamide In The Management Of Papilledema Due To Pseudotumor Cerebri
Hatem A. Tawfik;
Abstract
The available medical and surgical optios to treat papilledema associated with pseudotJmor cerebri continue to evolve. The current mainstay of treatment in modern ophthalmic practice is either pharmacological agents or optic nerve
sheath decompression. Repeated lumbar punctures are no longer used and are usually poorly tolerated by the patient (Wall \991 ). Shunting procedures have fallen out of favour because of their complicatiuns (Rosenuerg et a\ 1989). Pharrnacolugical.. agents that
.reduce intracranial pressure are corticosteroids, acetazolamide, digoxin, glycerol, and
1
furo\emide. (f ishman 1992).
In current ophthalmic and neurological literature•, •there are no golden rules that govern what to do in a case of pseudotumor cerebri or when to• start to interfere. There are a lot of studies in the literature each advoCilling a sper.ilic. lioe of treatment; eithe' medical or surgical, however, to the best of our knowledge, no prospective studies have been
conducted to compare different lines of treatment versus each other.
sheath decompression. Repeated lumbar punctures are no longer used and are usually poorly tolerated by the patient (Wall \991 ). Shunting procedures have fallen out of favour because of their complicatiuns (Rosenuerg et a\ 1989). Pharrnacolugical.. agents that
.reduce intracranial pressure are corticosteroids, acetazolamide, digoxin, glycerol, and
1
furo\emide. (f ishman 1992).
In current ophthalmic and neurological literature•, •there are no golden rules that govern what to do in a case of pseudotumor cerebri or when to• start to interfere. There are a lot of studies in the literature each advoCilling a sper.ilic. lioe of treatment; eithe' medical or surgical, however, to the best of our knowledge, no prospective studies have been
conducted to compare different lines of treatment versus each other.
Other data
| Title | Optic Nerve Sheath Decompression Versus High Dose Methyl Prednisolone And Acetazolamide In The Management Of Papilledema Due To Pseudotumor Cerebri | Other Titles | دراسة فاعلية ثقب أغشية العصب البصرى مقارنة بالعلاج الطبى فى علاج حالات ارتشاح أغشية العصب البصرى | Authors | Hatem A. Tawfik | Issue Date | 2000 |
Recommend this item
Similar Items from Core Recommender Database
Items in Ain Shams Scholar are protected by copyright, with all rights reserved, unless otherwise indicated.