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Case Reports
. 1998:268:153-8.

[Association of idiopathic intracranial hypertension-Arnold-Chiari deformity: danger!]

[Article in French]
P Demols  1 , S Vilain, C Van Nechel
Affiliations
  • PMID: 9810098
Case Reports

[Association of idiopathic intracranial hypertension-Arnold-Chiari deformity: danger!]

[Article in French]
P Demols et al. Bull Soc Belge Ophtalmol. 1998.

Abstract

Purpose: The idiopathic intracranial hypertension (IIH) can lead to a fatal issue in presence of an Arnold-Chiari malformation (ACM).

Method: We report the case of an obese pregnant woman presenting intracranial hypertension without cerebral CT scan anomaly. The situation worsened in spite of acetazolamide use: alteration of the neurologic state and the ocular motility.

Results: A magnetic resonance imaging (MRI) shows a type I ACM. The decompression of the cerebrospinal fluid by superior way is performed (pressure at 60 mmHg, normal composition) and followed by the neurosurgical cure of the Chiari. This allowed a total recuperation.

Conclusion: The IIH can be responsible for the decompensation of an ACM. A MRI and a rapid neurosurgical surgery are the rules without lumbar puncture temptation which can be fatal.

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