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J Neurol Surg A Cent Eur Neurosurg · Jan 2015
Case ReportsPatient-controlled intracranial pressure for managing idiopathic intracranial hypertension.
- Melissa C Werndle, Elizabeth Newling-Ward, and Marios C Papadopoulos.
- Department of Neurosurgery, St. George's University of London, London, United Kingdom.
- J Neurol Surg A Cent Eur Neurosurg. 2015 Jan 1;76(1):76-8.
AbstractIdiopathic intracranial hypertension is a difficult condition to manage. We present a novel treatment that substantially improved the headaches and reduced admissions and shunt revision surgery in a patient. We inserted a ventriculoperitoneal shunt, performed subtemporal craniectomies, and instructed our patient to apply different sized headbands to allow her to anticipate and control her own intracranial pressure: a tight headband for low-pressure headaches; no band for high-pressure headaches. Magnetic resonance imaging and intracranial pressure monitoring revealed this was not a placebo effect.Georg Thieme Verlag KG Stuttgart · New York.
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