Psödotümör Serebride Tekrarlayan Lomber Ponksiyonlar Risk midir?

Öz

Psödotümör serebri, kitle veya başka bir neden olmaksızın kafa içi basınç artışı ile karakterize bir sendromdur. En sık başvuru semptomu başağrısıdır. Baş dönmesi, bulantı ve kusma, çift görme ve diğer görme şikayetleri de sık görülen diğer semptomlardır. Psödotümör serebri ile chiari malformasyon birlikteliği özellikle lumboperitoneal şant sonrası bildirilmektedir. Burada, psödotümör serebri tanısı alan 11 aylık bir erkek çocukta tekrarlayan lomber ponksiyonlara ikincil gelişen chiari malformasyonu takdim edildi.

Anahtar Kelimeler

• Chiari malformasyonu, İdiyopatik intrakranial hipertansiyon, Nörogörüntüleme, Psödotümör serebri

Are Recurrent Lumbar Punctures Risky in Pseudotumor Cerebri?

Öz

Pseudotumor cerebri is a syndrome characterized by increased intracranial pressure (ICP) in the absence of mass or other causes. The most common presenting symptom is headache. Dizziness, nausea and vomiting, double vision and other visual symptoms are other common manifestations. Co-existence of the Chiari malformation and pseudotumor cerebri is reported especially after lumboperitoneal shunting procedures. Here, we report a Chiari malformation that developed secondary to recurrent lumbar punctures in an 11-month-old boy diagnosed with pseudotumor cerebri

Anahtar Kelimeler

• Chiari malformation, Idiopathic intracranial hypertension, Neuroimaging, Pseudotumor cerebri

Kaynakça

1. Banik R, Lin D, Miller NR. Prevalence of Chiari I malformation and cerebellar ectopia in patients with pseudotumor cerebri. J Neurol Sci 2006;247:71-5.
2. Mc Kiernan SP, DiFazio MP. Index of suspicion. Case 3. Diagnosis: Infantile pseudotumor cerebri. Pediatr Rev 2001;22:211-15.
3. Gordon NS. Idiopathic intracranial hypertension. Eur J Paediatr Neurol 2006;10:1-4.
4. Bejjani G. Association of the Adult Chiari Malformation and Idiopathic Intracranial Hypertension: More than a coincidance. Med Hypoteses 2003;60:859-63.
5. Arnett BC. Tonsillar ectopia and headaches. Neurol Clin N Am 2004;22:229-36.
6. Scott IU, Siatkowski RM, Eneyni M, Brodsky MC, Lam BL. Idiopathic intracranial hypertension in children and adolescents. Am J Ophthalmol 1997;124:253-55.
7. Youroukos S, Psychou F, Fryssiras S, Paikos P, Nicolaidou P. Idiopathic intracranial hypertension in children. J Child Neurol 2000;15:453-57.
8. Selhorst JB, Kulkantrakorn K, Corbett JJ, Leira EC, Chung SM. Retinol- binding protein in idiopathic intracranial hypertension (IIH). J Neuroophthalmol 2000;20:250-52.

9. Payner TD, Prenger E, Berger TS, Crone KR. Acquired Chiari malformation: Incidence, diagnosis and management. Neurosurgery 1994;34:429-34.
10. Di Rocco C, Velardi F. Acquired Chiari type I malformation managed by supratentorial cranial enlargement. Childs Nerv Syst 2003;19:800-7.
11. Johnston I, Jacobsen E, Besser M. The acquired Chiari malforma- tion and syringomyelia following spinal CSF drainage. A study of incidence and management. Acta Neurochir 1998;140:417-28.
12. Sinclair N, Assaad N, Johnston I. Pseudotumor cerebri occurring in association with the Chiari malformation. J Clin Neurosci 2002;9:99–101.
13. Padmanabhan R, Crompton D, Burn D, Birchall D. Acquired Chiari 1 malformation and syringomyelia following lumboperitoneal shunting for pseudotumour cerebri. J Neurol Neurosurg Psychiatry 2005;76:298.
14. Hart A, David K, Powell M. The treatment of “acquired tonsillar herniation” in pseudotumor cerebri. Br J Neurosurg 2000;14: 563-65.