Management of Cerebellar Tonsillar Herniation following Lumbar Puncture in Idiopathic Intracranial Hypertension
Lumbar puncture is performed routinely for diagnostic and therapeutic purposes in idiopathic intracranial hypertension, despite lumbar puncture being classically contraindicated in the setting of raised intracranial pressure. We report the case of a 30-year-old female with known idiopathic intracran...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2015/895035 |
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| author | Kenneth R. Hoffman Sean W. Chan Andrew R. Hughes Stephen J. Halcrow |
| author_facet | Kenneth R. Hoffman Sean W. Chan Andrew R. Hughes Stephen J. Halcrow |
| author_sort | Kenneth R. Hoffman |
| collection | DOAJ |
| description | Lumbar puncture is performed routinely for diagnostic and therapeutic purposes in idiopathic intracranial hypertension, despite lumbar puncture being classically contraindicated in the setting of raised intracranial pressure. We report the case of a 30-year-old female with known idiopathic intracranial hypertension who had cerebellar tonsillar herniation following therapeutic lumbar puncture. Management followed guidelines regarding treatment of traumatic intracranial hypertension, including rescue decompressive craniectomy. We hypothesize that the changes in brain compliance that are thought to occur in the setting of idiopathic intracranial hypertension are protective against further neuronal injury due to axonal stretch following decompressive craniectomy. |
| format | Article |
| id | doaj-art-d848e783dc6245c991beef40794f3e6a |
| institution | Kabale University |
| issn | 2090-6420 2090-6439 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-d848e783dc6245c991beef40794f3e6a2025-02-03T06:44:46ZengWileyCase Reports in Critical Care2090-64202090-64392015-01-01201510.1155/2015/895035895035Management of Cerebellar Tonsillar Herniation following Lumbar Puncture in Idiopathic Intracranial HypertensionKenneth R. Hoffman0Sean W. Chan1Andrew R. Hughes2Stephen J. Halcrow3Intensive Care Unit, Canberra Hospital, Yamba Drive, Canberra, ACT 2605, AustraliaIntensive Care Unit, Canberra Hospital, Yamba Drive, Canberra, ACT 2605, AustraliaNeurology Department, Canberra Hospital, Yamba Drive, Canberra, ACT 2605, AustraliaNeurosurgical Unit, Canberra Hospital, Yamba Drive, Canberra, ACT 2605, AustraliaLumbar puncture is performed routinely for diagnostic and therapeutic purposes in idiopathic intracranial hypertension, despite lumbar puncture being classically contraindicated in the setting of raised intracranial pressure. We report the case of a 30-year-old female with known idiopathic intracranial hypertension who had cerebellar tonsillar herniation following therapeutic lumbar puncture. Management followed guidelines regarding treatment of traumatic intracranial hypertension, including rescue decompressive craniectomy. We hypothesize that the changes in brain compliance that are thought to occur in the setting of idiopathic intracranial hypertension are protective against further neuronal injury due to axonal stretch following decompressive craniectomy.http://dx.doi.org/10.1155/2015/895035 |
| spellingShingle | Kenneth R. Hoffman Sean W. Chan Andrew R. Hughes Stephen J. Halcrow Management of Cerebellar Tonsillar Herniation following Lumbar Puncture in Idiopathic Intracranial Hypertension Case Reports in Critical Care |
| title | Management of Cerebellar Tonsillar Herniation following Lumbar Puncture in Idiopathic Intracranial Hypertension |
| title_full | Management of Cerebellar Tonsillar Herniation following Lumbar Puncture in Idiopathic Intracranial Hypertension |
| title_fullStr | Management of Cerebellar Tonsillar Herniation following Lumbar Puncture in Idiopathic Intracranial Hypertension |
| title_full_unstemmed | Management of Cerebellar Tonsillar Herniation following Lumbar Puncture in Idiopathic Intracranial Hypertension |
| title_short | Management of Cerebellar Tonsillar Herniation following Lumbar Puncture in Idiopathic Intracranial Hypertension |
| title_sort | management of cerebellar tonsillar herniation following lumbar puncture in idiopathic intracranial hypertension |
| url | http://dx.doi.org/10.1155/2015/895035 |
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