Resolution of papilledema after neurosurgical decompression for primary Chiari I malformation

Micheal S. Vaphiades, Eric R. Eggenberger, Neil R. Miller, Larry Frohman, Ali Krisht

Research output: Contribution to journalArticlepeer-review

33 Scopus citations

Abstract

PURPOSE: To report a causal relationship between Chiari I malformation and its rare, but recognized manifestation of bilateral papilledema. DESIGN: Interventional case series. METHODS: Four adult female patients (mean age, 48, age range 25-59 years) with bilateral papilledema, signs and symptoms of increased intracranial pressure, and cranial magnetic resonance imaging (MRI) evidence of a Chiari I malformation ranging from 7 to 22 mm of tonsillar herniation underwent suboccipital decompression. RESULTS: In all four patients, suboccipital decompression was followed by resolution of bilateral papilledema and signs and symptoms of increased intracranial pressure. CONCLUSION: Patients with bilateral papilledema and presumed pseudotumor cerebri require a cranial MRI to determine if they have a Chiari I malformation, because patients with increased intracranial pressure and papilledema from a Chiari I malformation may benefit from suboccipital decompression.

Original languageEnglish (US)
Pages (from-to)673-678
Number of pages6
JournalAmerican journal of ophthalmology
Volume133
Issue number5
DOIs
StatePublished - May 13 2002

All Science Journal Classification (ASJC) codes

  • Ophthalmology

Fingerprint Dive into the research topics of 'Resolution of papilledema after neurosurgical decompression for primary Chiari I malformation'. Together they form a unique fingerprint.

Cite this