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Escape from prism

delete2023-05-01
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PRE
AI
M
Michael C. Brodsky *
B
Bryce J. Aul
D
David J. Daniels
M
Mays El-Dairi
DOI:10.1016/j.survophthal.2022.02.003delete
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摘要

摘要

En 中文
A 14-year-old boy with a history of shunted congenital hydrocephalus began having headaches with nausea and vomiting after transcontinental flights. He gradually developed horizontal diplopia indicative of mild bilateral sixth nerve palsy, without papilledema or ventriculomegaly. Intracranial pressure monitoring showed no signs of elevation. After he subsequently developed papilledema, surgical exploration showed shunt malfunction, and shunt replacement produced rapid resolution of symptoms. This case demonstrates the im-portance of relying on clinical history and neuro-ophthalmologic examination in patients with hydrocephalus and suspected shunt failure, even when objective confirmatory evi-dence of intracranial pressure elevation is lacking.(c) 2022 Published by Elsevier Inc.
Keyword:
Hydrocephalus
ventriculoperitoneal shunt failure
papilledema
intracranial pressure

期刊

Survey of Ophthalmology 封面图
Survey of Ophthalmology
IF:
5.9
论文数:
2.4K
被引数:
7.8K

机构

M
mayo clinic
学者数:
8.3W
论文数: 6.6W
被引数: 85
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