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Picard, R. Anxionnat, S. Bracard, A. Wolff, B. Mourvillier, L. Bouadma, R. Sonneville, B. Article Access to the text HTML. Access to the PDF text. Recommend this article. Save as favorites. Access to the full text of this article requires a subscription. If you are a subscriber, please sign in 'My Account' at the top right of the screen. Outline Masquer le plan. Top of the page - Contact Help Who are we?
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Principes de traitement de l’hypertension intracrânienne
Idiopathic intracranial hypertension: a rare case related to pregnancy. We report the case of a year old primipara whose pregnancy was complicated by idiopathic intracranial hypertension ICHT associated with visual impairment in the first quarter. She underwent lumboperitoneal shunt without obstetric consequences. This study aimed to determine the features of this rare pathological entity whose pathophysiological mechanism is poorly elucidated. It would be caused by poor absorption of cerebrospinal fluid CSF through the arachnoid granulations. Major risk factors are: obesity, polycystic ovary syndrome, thrombophilia and hyperfibrinolyse. Diagnosis is based on modified Dandy criteria after negative clinico-biological and radiological assessment.
Correction de l'hypertension intracrânienne créée par compression mécanique directe du cerveau
Picard, R. Anxionnat, S. Bracard, A. Wolff, B. Mourvillier, L.
Idiopathic intracranial hypertension IH occurs most commonly in women and overweight subjects. It must be reported associated to general diseases, like systemic lupus erythematosus SLE. We report an observation of a patient with lupus complicated by glomerulonephritis and IH. Four years after onset, a renal complication appeared with severe nephrotic syndrom. The patient was completely asymptomatic. Lumbar punction showed an elevated opening pressure of 30,5 cmH 2 0 but with normal cerebrospinal fluid CSF contents.
An attempt has been made to correct cerebral hypertension induced by direct compression of the brain in a group of six dogs. The animals, which had been previously fitted with an inflatable subdural rubber balloon, were either kept eupneic isolated mechanical hypertension or deliberately hypoventilated mixed mechanical and acidotic hypertension. In the first instance, administration of urea brought the intracranial pressure back to control values while, in the second case, injection of an amine buffer controlled only the acidotic component of intracranial hypertension. National Center for Biotechnology Information , U. Can Med Assoc J. Serge J. Dos , W.