Papiledema unilateral na síndrome do pseudotumor cerebral

Monteiro, Mário L. R.; Hoyt, William F.; Imes, Richard K.; Narahara, Michael

doi:10.1590/S0004-282X1985000200005

Resumos

São apresentadas as fotografias de fundo de olho de 6 mulheres com papiledema unilateral e a síndrome do pseudotumor cerebral. Achados associados foram: obesidade em 5 e a sindrome da sela vazia parcial em 2. São discutidas as possíveis explicações para o desenvolvimento de papiledema unilateral nesses pacientes e que favorecem um mecanismo presente na porção distal dos nervos ópticos.

The appearance of unilateral papilledema in the fundus photos of 6 women with pseudotumor cerebri is presented. Associated findings included obesity in 5 and a partially empty sella in 2. The possible explanations for the development of unilateral papilledema in pseudotumor cerebri are reviewed and favor a mechanism that is present at the distal end of the optic nerves.

Papiledema unilateral na síndrome do pseudotumor cerebral

Unilateral papilledema in pseudotumor cerebri

Mário L. R. Monteiro^I; William F. Hoyt^II; Richard K. Imes^I; Michael Narahara^III

^IFellow em Neuro-oftalmologia. Universidade da California em São Francisco

^IIProfessor, Departamentos de Neurocirurgia, Neurologia e Oftalmologia. Universidade da California em São Francisco, USA

^IIIFotógrafo, Departamento de Oftalmologia. Universidade da California em São Francisco, USA

RESUMO

São apresentadas as fotografias de fundo de olho de 6 mulheres com papiledema unilateral e a síndrome do pseudotumor cerebral. Achados associados foram: obesidade em 5 e a sindrome da sela vazia parcial em 2. São discutidas as possíveis explicações para o desenvolvimento de papiledema unilateral nesses pacientes e que favorecem um mecanismo presente na porção distal dos nervos ópticos.

SUMMARY

The appearance of unilateral papilledema in the fundus photos of 6 women with pseudotumor cerebri is presented. Associated findings included obesity in 5 and a partially empty sella in 2. The possible explanations for the development of unilateral papilledema in pseudotumor cerebri are reviewed and favor a mechanism that is present at the distal end of the optic nerves.

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Full text available only in PDF format.

Trabalho realizado na Unidade de Neuro-oftalmologia, Departamentos de Neurocirurgia, Neurologia e Oftalmologia, Universidade da California em São Francisco, USA.

Endereço atual do Dr. M.L.R. Monteiro: Divisão de Clínica Oftalmológlca do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (Serviço do Prof. Jorge A.F. Caldeira).

Clínica Oftalmológica, Hospital das Clínicas, FMUSP - Caixa Postal 8091 - 01000, São Paulo, SP - Brasil.

1. BRUNTSE, E. - Unilateral papilledema in neurosurgical patients. Acta Ophthalmol. 48:759, 1970.
2. FOLEY, K.M. & POSNER, J.B. - Does pseudomotor cerebri cause the empty sella syndrome? Neurology (Minneapolis) 25:565, 1975.
3. HAYREH, S.S. - Pathogenesis of oedema of the optic disc (papilloedema). A preliminary report Brit. J. Ophthalmol. 48:522, 1964.
4. HAYREH, S.S. - Optic disc edema in raised intracranial pressure. V. Pathogenesis. Arch. Ophthalmol. 95:1553, 1977.
5. JOHNSTON, I. & PATERSON, A. - Benign intracranial hypertension: I. Diagnosis and prognosis. Brain 97:289, 1974.
6. KIRKHAM, T.H.; SANDERS, M.D. & SAPP, G.A. - Unilateral papilledema in benign intracranial hypertension. Can. J. Ophthalmol. 8:533, 1973.
7. MILLER, N.R. - Walsh and Hoyt's Clinical Neuro-Ophthalmology. Ed. 4. Williams & Wilkins, Baltimore, 1982, pg. 187.
8. MUCI-MENDOZA, R. - Unilateral and asymmetric optic disc swelling with intracranial abnormalities. Amer. J. Ophthalmol. 97:253, 1984.
9. MUCI-MENDOZA, R.; ARRUGA, J. & HOYT, W.F. - Distensión bilateral del espacio subaracnoideo perióptico en el pseudotumor cerebral con papilledema unilateral. Su demonstratión a traves de la tomografia computorizada de la órbita. Rev. Neurol. (Barcelona) 39:11, 1981.
10. SEDWICK, L.A. & BURDE, R.M. - Unilateral and asymmetric optic disc swelling intracranial abnormalities. Amer. J. Ophthalmol. 96:484, 1983.
11. SHER, N.A.; WIRTSCHAFTER, J.; SHAPIRO, S.K.; SEE, C. & SHAPIRO, I. - Unilateral papilledema in «benign» intracranial hypertension (pseudotumor cerebri). J. amer. med. Assoc. 250:2346, 1983.
12. TSO, M.O. & HAYREH, S.S. - Optic disc edema in raised intracranial pressure. IV. Axoplasmic transport in experimental papilledema. Arch. Ophthalmol. 95:1458, 1977.

Datas de Publicação

Publicação nesta coleção
10 Ago 2012
Data do Fascículo
Jun 1985

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. BRUNTSE, E. - Unilateral papilledema in neurosurgical patients. Acta Ophthalmol. 48:759, 1970.

[2] 2. FOLEY, K.M. & POSNER, J.B. - Does pseudomotor cerebri cause the empty sella syndrome? Neurology (Minneapolis) 25:565, 1975.

[3] 3. HAYREH, S.S. - Pathogenesis of oedema of the optic disc (papilloedema). A preliminary report Brit. J. Ophthalmol. 48:522, 1964.

[4] 4. HAYREH, S.S. - Optic disc edema in raised intracranial pressure. V. Pathogenesis. Arch. Ophthalmol. 95:1553, 1977.

[5] 5. JOHNSTON, I. & PATERSON, A. - Benign intracranial hypertension: I. Diagnosis and prognosis. Brain 97:289, 1974.

[6] 6. KIRKHAM, T.H.; SANDERS, M.D. & SAPP, G.A. - Unilateral papilledema in benign intracranial hypertension. Can. J. Ophthalmol. 8:533, 1973.

[7] 7. MILLER, N.R. - Walsh and Hoyt's Clinical Neuro-Ophthalmology. Ed. 4. Williams & Wilkins, Baltimore, 1982, pg. 187.

[8] 8. MUCI-MENDOZA, R. - Unilateral and asymmetric optic disc swelling with intracranial abnormalities. Amer. J. Ophthalmol. 97:253, 1984.

[9] 9. MUCI-MENDOZA, R.; ARRUGA, J. & HOYT, W.F. - Distensión bilateral del espacio subaracnoideo perióptico en el pseudotumor cerebral con papilledema unilateral. Su demonstratión a traves de la tomografia computorizada de la órbita. Rev. Neurol. (Barcelona) 39:11, 1981.

[10] 10. SEDWICK, L.A. & BURDE, R.M. - Unilateral and asymmetric optic disc swelling intracranial abnormalities. Amer. J. Ophthalmol. 96:484, 1983.

[11] 11. SHER, N.A.; WIRTSCHAFTER, J.; SHAPIRO, S.K.; SEE, C. & SHAPIRO, I. - Unilateral papilledema in «benign» intracranial hypertension (pseudotumor cerebri). J. amer. med. Assoc. 250:2346, 1983.

[12] 12. TSO, M.O. & HAYREH, S.S. - Optic disc edema in raised intracranial pressure. IV. Axoplasmic transport in experimental papilledema. Arch. Ophthalmol. 95:1458, 1977.