TY - JOUR
T1 - Posterior reversible encephalopathy syndrome and subarachnoid hemorrhage after lumboperitoneal shunt for fulminant idiopathic intracranial hypertension
AU - Fok, Anthony
AU - Chandra, Ronil
AU - Gutman, Matthew
AU - Ligtermoet, Matthew
AU - Seneviratne, Udaya Kumara
AU - Kempster, Peter
PY - 2016/6
Y1 - 2016/6
N2 - A 33-year-old woman presented with severe visual loss from fulminant idiopathic intracranial hypertension. Her lumbar puncture opening pressure was 97 cm H2O. Soon after lumboperitoneal shunt surgery, she had a generalized tonic-clonic seizure. Magnetic resonance imaging demonstrated frontal subarachnoid hemorrhage (SAH) and neuroimaging findings consistent with posterior reversible encephalopathy syndrome (PRES). We hypothesize that an abrupt drop in intracranial pressure after lumboperitoneal shunting led to maladjustment of cerebral vascular autoregulation, which caused SAH and PRES.
AB - A 33-year-old woman presented with severe visual loss from fulminant idiopathic intracranial hypertension. Her lumbar puncture opening pressure was 97 cm H2O. Soon after lumboperitoneal shunt surgery, she had a generalized tonic-clonic seizure. Magnetic resonance imaging demonstrated frontal subarachnoid hemorrhage (SAH) and neuroimaging findings consistent with posterior reversible encephalopathy syndrome (PRES). We hypothesize that an abrupt drop in intracranial pressure after lumboperitoneal shunting led to maladjustment of cerebral vascular autoregulation, which caused SAH and PRES.
UR - http://www.ncbi.nlm.nih.gov/pubmed/26919070
U2 - 10.1097/WNO.0000000000000355
DO - 10.1097/WNO.0000000000000355
M3 - Article
SN - 1070-8022
VL - 36
SP - 164
EP - 166
JO - Journal of Neuro-Ophthalmology
JF - Journal of Neuro-Ophthalmology
IS - 2
ER -