Fulminant intracranial hypertension secondary to oxytetracycline requiring urgent ventriculo-peritoneal shunt insertion.
Hydrocephalus
Idiopathic intracranial hypertension
Shunt
tetracycline
Journal
Neuro-Chirurgie
ISSN: 1773-0619
Titre abrégé: Neurochirurgie
Pays: France
ID NLM: 0401057
Informations de publication
Date de publication:
Nov 2021
Nov 2021
Historique:
received:
28
11
2020
accepted:
13
01
2021
pubmed:
3
2
2021
medline:
26
11
2021
entrez:
2
2
2021
Statut:
ppublish
Résumé
Idiopathic intracranial hypertension is a syndrome that presents with headaches and visual loss. Its pathogenesis is unknown. Treatment options include acetazolamide, therapeutic lumbar punctures or permanent CSF diversion. We present the only reported case of acute drug-induced intracranial hypertension secondary to oxytetracycline requiring urgent cerebrospinal fluid diversion. The patient's rapid visual failure progressed daily despite discontinuation of the drug and required an urgent ventriculo-peritoneal (VP) shunt insertion. Patients should be counselled about the rare potential risk of developing intracranial hypertension when commencing oxytetracycline. Rapid visual failure in IIH is a neurosurgical emergency necessitating urgent ventriculoperitoneal shunt insertion.
Identifiants
pubmed: 33529696
pii: S0028-3770(21)00022-9
doi: 10.1016/j.neuchi.2021.01.012
pii:
doi:
Substances chimiques
Oxytetracycline
X20I9EN955
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
621-623Informations de copyright
Crown Copyright © 2021. Published by Elsevier Masson SAS. All rights reserved.