Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Acute disseminated encephalomyelitis surgery
Introduction
Overview
Overview
Surgical interventions can be helpful for managing complications like cerebral edema, optic neuritis and elevated intracranial pressure. The options include:
- Decompressive hemi-craniectomy
- Bilteral optic nerve sheath decompression]]
- Lumboperitoneal shunting
Surgery
Surgery
It can be life-saving in patients with massive life-threatening cerebral oedema, refractory to conventional therapies[1][2].
Bilateral optic nerve sheath decompression[3]
In combination with high-dose steroids, it can be employed in patients having profound visual loss secondary to optic neuritis.
To lower elevated opening pressures on lumbar puncture
References
References
- ↑ von Stuckrad-Barre S, Klippel E, Foerch C, Lang JM, du Mesnil de Rochemont R, Sitzer M (2003). “Hemicraniectomy as a successful treatment of mass effect in acute disseminated encephalomyelitis”. Neurology. 61 (3): 420–1. doi:10.1212/01.wnl.0000073540.35919.ae. PMID 12913218.
- ↑ Refai D, Lee MC, Goldenberg FD, Frank JI (2005). “Decompressive hemicraniectomy for acute disseminated encephalomyelitis: case report”. Neurosurgery. 56 (4): E872, discussion E871. doi:10.1227/01.neu.0000156201.46473.a8. PMID 15792531.
- ↑ 3.0 3.1 Ellis BD, Kosmorsky GS, Cohen BH (1994). “Medical and surgical management of acute disseminated encephalomyelitis”. J Neuroophthalmol. 14 (4): 210–3. PMID 7881525.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sujaya Chattopadhyay, M.D.[2]