Opto-chiasmatic arachnoiditis in the young

Giorgio Iraci, Massimo A. Gerosa, Laura Tomazzoli, Kurt Pardatscher, Daniele L. Fiore, Antonio G. Secchi, Alma Patrizia Tormene, Rujjaele Javicoli, Renzo Giordano, Alessandro Olivi

Research output: Contribution to journalArticlepeer-review

Abstract

14 young patients, operated upon for opto-ehiasmalie arachnoiditis by craniotomy are presented. 2 main etiopathogenetic forms (and their respective clinical equivalents) of the disease could be recognized. Only I postoperative death occurred, in a patient with a dominant clinical picture of intracranial hypertension. Results of surgery (craniotomy and lysis of adhesions) could be distinguished as positive (functional improvement) in 5 cases, indifferent or negative in the others, with a follow-up duration of up to 23 years. The role of the diagnostic value of the pneumocncephalogram as a basis for surgical indication is discussed: It is felt that this examination, when reported as negative, is not of sufficient value to rule out the diagnosis, which must essentially rely upon clinical data.

Original languageEnglish (US)
Pages (from-to)48-66
Number of pages19
JournalPediatric Neurosurgery
Volume10
Issue number1
DOIs
StatePublished - Jan 1 1983

Keywords

  • Arachnoiditis craniotomy
  • Neuritis
  • Optic chiasm
  • Optic nerve
  • Pneumoencephalogram

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Clinical Neurology

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