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Pseudotumor Cerebri Treated: Title and subTitle BreakWith Lumbar-Peritoneal Shunt FREE

MAJ Gary D. Vander Ark, MCCOL ; Ludwig G. Kempe, MCMAJ ; Donald R. Smith, MC
[+] Author Affiliations

Read before the Congress of Neurological Surgeons, St. Louis, Oct 30, 1970.

Reprint requests to Department of Neurological Surgery, Walter Reed General Hospital, Walter Reed Army Medical Center, Washington, DC 20012 (Dr. Kempe).


JAMA. 1971;217(13):1832-1834. doi:10.1001/jama.1971.03190130036007
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Occasionally pseudotumor cerebri is refractory to all forms of medical therapy. Indications for surgical treatment are the visual complications of raised intracranial pressure. For three patients with these complications who required operative treatment, the technique of lumbar-subarachnoid-peritoneal shunt was used effectively. This technique is recommended as the surgical treatment of choice.

REFERENCES

Dandy WE:  Intracranial pressure without brain tumor . Amer Surg 106:492-513, 1937;.
Solnitzky 0:  Pseudotumor cerebri. Georgetown Med Bull 20:85-100, 1966;.
Jackson IJ, Snodgrass SR:  Peritoneal shunts in the treatment of hydrocephalus and increased intracranial pressure . J Neurosurg 12:216-222, 1955;.
Rish BL, Meacham WF:  Pseudotumor cerebri: A historical and clinical review . J Tenn Med Assoc 58:355-361, 1965;.
Hooper R:  Hydrocephalus and obstruction of the superior vena cava in infancy: Clinical study of the relationship between cerebrospinal fluid pressure and venous pressure . Pediatrics 28:792-799, 1961;.
Verdura J, White RJ:  Treatment of pseudotumor cerebri by continuous valve-controlled drainage of the cerebrospinal fluid , in Drake CC (ed): Fourth International Congress on Neurological Surgery . International congress series, No. 193, Amsterdam, Exerpta Medica Foundation, 1969;, p 85.
Bradshaw P:  Benign intracranial hypertension . J Neurol Neurosurg Psychiat 19:28-41, 1956;.
Davidoff LM, Dyke CG:  Hypertensive meningeal hydrops: Syndrome frequently following infection in middle ear or elsewhere in body . Amer J Ophthal 20:908-927, 1937;.
Hughes EBC:  Some observations on the visual fields in hydrocephalus . J Neurol Neurosurg Psychiat 9:30-39, 1946;.
Wilson DH, Gardner WJ:  Benign intracranial hypertension with particular reference to its occurrence in fat young women . Canad Med Assoc J 95:102-105, 1966;.

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Dandy WE:  Intracranial pressure without brain tumor . Amer Surg 106:492-513, 1937;.
Solnitzky 0:  Pseudotumor cerebri. Georgetown Med Bull 20:85-100, 1966;.
Jackson IJ, Snodgrass SR:  Peritoneal shunts in the treatment of hydrocephalus and increased intracranial pressure . J Neurosurg 12:216-222, 1955;.
Rish BL, Meacham WF:  Pseudotumor cerebri: A historical and clinical review . J Tenn Med Assoc 58:355-361, 1965;.
Hooper R:  Hydrocephalus and obstruction of the superior vena cava in infancy: Clinical study of the relationship between cerebrospinal fluid pressure and venous pressure . Pediatrics 28:792-799, 1961;.
Verdura J, White RJ:  Treatment of pseudotumor cerebri by continuous valve-controlled drainage of the cerebrospinal fluid , in Drake CC (ed): Fourth International Congress on Neurological Surgery . International congress series, No. 193, Amsterdam, Exerpta Medica Foundation, 1969;, p 85.
Bradshaw P:  Benign intracranial hypertension . J Neurol Neurosurg Psychiat 19:28-41, 1956;.
Davidoff LM, Dyke CG:  Hypertensive meningeal hydrops: Syndrome frequently following infection in middle ear or elsewhere in body . Amer J Ophthal 20:908-927, 1937;.
Hughes EBC:  Some observations on the visual fields in hydrocephalus . J Neurol Neurosurg Psychiat 9:30-39, 1946;.
Wilson DH, Gardner WJ:  Benign intracranial hypertension with particular reference to its occurrence in fat young women . Canad Med Assoc J 95:102-105, 1966;.
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