Treatment of visual loss in pseudotumor cerebri associated with uremia

摘要: Ten patients with pseudotumor cerebri associated renal insufficiency had papilledema and elevated intracranial pressure, but neurologic examinations CT were normal. The 40% frequency of severe visual loss, 20/100 or worse, was higher than expected for cerebri. While furosemide effective in 3 transplants, administration corticosteroids to 2 other did not halt progressive loss vision. function deteriorated even after lumboperitoneal shunting. Five underwent fenestration the optic nerve sheath. This procedure improved acuity stabilized vision others. pathogenesis is unknown, sheath surgical treatment choice unresponsive medical therapy.