Decompression of the optic nerve sheath for vision-threatening papilledema caused by dural sinus occlusion.

@article{Horton1992DecompressionOT,
  title={Decompression of the optic nerve sheath for vision-threatening papilledema caused by dural sinus occlusion.},
  author={Jonathan C Horton and Stuart R. Seiff and Lawrence H. Pitts and Philip R. Weinstein and Mark L. Rosenblum and William F. Hoyt},
  journal={Neurosurgery},
  year={1992},
  volume={31 2},
  pages={203-11; discussion 211-2}
}
Obstruction of the dural sinuses produces a clinical syndrome that resembles pseudotumor cerebri. In these patients, unremitting papilledema can cause blindness. We performed decompression of the optic nerve sheath in four patients who had occlusion of the dural sinuses. The operation achieved rapid relief of papilledema and recovery of vision. In three patients, fenestration of the nerve sheath of only one eye resulted in resolution of papilledema in both eyes. The procedure appears to relieve… CONTINUE READING