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[Association of idiopathic intracranial hypertension-Arnold-Chiari deformity: danger!].
Bull Soc Belge Ophtalmol. 1998; 268:153-8.BS

Abstract

PURPOSE

The idiopathic intracranial hypertension (IIH) can lead to a fatal issue in presence of an Arnold-Chiari malformation (ACM).

METHOD

We report the case of an obese pregnant woman presenting intracranial hypertension without cerebral CT scan anomaly. The situation worsened in spite of acetazolamide use: alteration of the neurologic state and the ocular motility.

RESULTS

A magnetic resonance imaging (MRI) shows a type I ACM. The decompression of the cerebrospinal fluid by superior way is performed (pressure at 60 mmHg, normal composition) and followed by the neurosurgical cure of the Chiari. This allowed a total recuperation.

CONCLUSION

The IIH can be responsible for the decompensation of an ACM. A MRI and a rapid neurosurgical surgery are the rules without lumbar puncture temptation which can be fatal.

Authors+Show Affiliations

Demols P
Service d'Ophtalmologie, Hôpital Erasme, ULB.
Vilain S
No affiliation info available
Van Nechel C
No affiliation info available

MeSH

AcetazolamideAdultAnticonvulsantsArnold-Chiari MalformationEye MovementsFemaleHumansIntracranial HypertensionMagnetic Resonance ImagingObesityPregnancyPregnancy Complications

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

fre

PubMed ID

9810098

Citation

Demols, P, et al. "[Association of Idiopathic Intracranial hypertension-Arnold-Chiari Deformity: Danger!]." Bulletin De La Societe Belge D'ophtalmologie, vol. 268, 1998, pp. 153-8.
Demols P, Vilain S, Van Nechel C. [Association of idiopathic intracranial hypertension-Arnold-Chiari deformity: danger!]. Bull Soc Belge Ophtalmol. 1998;268:153-8.
Demols, P., Vilain, S., & Van Nechel, C. (1998). [Association of idiopathic intracranial hypertension-Arnold-Chiari deformity: danger!]. Bulletin De La Societe Belge D'ophtalmologie, 268, 153-8.
Demols P, Vilain S, Van Nechel C. [Association of Idiopathic Intracranial hypertension-Arnold-Chiari Deformity: Danger!]. Bull Soc Belge Ophtalmol. 1998;268:153-8. PubMed PMID: 9810098.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Association of idiopathic intracranial hypertension-Arnold-Chiari deformity: danger!]. AU - Demols,P, AU - Vilain,S, AU - Van Nechel,C, PY - 1998/11/12/pubmed PY - 1998/11/12/medline PY - 1998/11/12/entrez SP - 153 EP - 8 JF - Bulletin de la Societe belge d'ophtalmologie JO - Bull Soc Belge Ophtalmol VL - 268 N2 - PURPOSE: The idiopathic intracranial hypertension (IIH) can lead to a fatal issue in presence of an Arnold-Chiari malformation (ACM). METHOD: We report the case of an obese pregnant woman presenting intracranial hypertension without cerebral CT scan anomaly. The situation worsened in spite of acetazolamide use: alteration of the neurologic state and the ocular motility. RESULTS: A magnetic resonance imaging (MRI) shows a type I ACM. The decompression of the cerebrospinal fluid by superior way is performed (pressure at 60 mmHg, normal composition) and followed by the neurosurgical cure of the Chiari. This allowed a total recuperation. CONCLUSION: The IIH can be responsible for the decompensation of an ACM. A MRI and a rapid neurosurgical surgery are the rules without lumbar puncture temptation which can be fatal. SN - 0081-0746 UR - https://www.unboundmedicine.com/medline/citation/9810098/[Association_of_idiopathic_intracranial_hypertension_Arnold_Chiari_deformity:_danger]_ L2 - http://www.diseaseinfosearch.org/result/9667 DB - PRIME DP - Unbound Medicine ER -