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Detection of hidden pseudotumour cerebri behind Chiari 1 malformation: value of telemetric ICP monitoring

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References

  1. Banik R, Lin D, Miller NR (2006) Prevalence of Chiari I malformation and cerebellar ectopia in patients with pseudotumour cerebri. J Neurol Sci 247:71–75

    Article  PubMed  Google Scholar 

  2. Bejjani GK (2003) Association of the adult Chiari malformation and idiopathic intracranial hypertension: more than a coincidence. Med Hypotheses 60:859–863

    Article  PubMed  Google Scholar 

  3. Carmel PW (1983) Management of the Chiari malformations in childhood. Clin Neurosurg 30:385–406

    PubMed  CAS  Google Scholar 

  4. Chumas PD, Armstrong DC, Drake JM, Kulkarni AV, Hoffman HJ, Humphreys RP, Rutka JT, Hendrick EB (1993) Tonsillar herniation: the rule rather than the exception after lumboperitoneal shunting in the pediatric population. J Neurosurg 78:568–73

    Article  PubMed  CAS  Google Scholar 

  5. De Jong DA, Maas AI, den Ouden AH, de Lange SA (1983–1984) Long-term intracranial pressure monitoring. Med Prog Technol 10:89–96

    Google Scholar 

  6. Di Lorenzo N, Cacciola F (2005) Adult syringomyelia. Classification, pathogenesis and therapeutic approaches. J Neurosurg Sci 49:65–72

    PubMed  Google Scholar 

  7. Eymann R, Kiefer M (2010) Glue instead of stitches: a minor change of the operative technique with a serious impact on the shunt infection rate. Acta Neurochir Suppl 106:87–89

    Article  PubMed  Google Scholar 

  8. Fagan LH, Ferguson S, Yassari R, Frim DM (2006) The Chiari pseudotumour cerebri syndrome: symptom recurrence after decompressive surgery for Chiari malformation type I. Pediatr Neurosurg 42:14–19

    Article  PubMed  Google Scholar 

  9. Frischholz M, Sarmento L, Wenzel M, Aquilina K, Edwards R, Coakham HB (2007) Telemetric implantable pressure sensor for short- and long-term monitoring of intracranial pressure. Conf Proc IEEE Eng Med Biol Soc 2007:514

    PubMed  CAS  Google Scholar 

  10. Furtado SV, Visvanathan K, Reddy K, Hedge AS (2009) Pseudotumour cerebri: as a cause for early deterioration after Chiari I malformation surgery. Childs Nerv Syst 25:1007–1012

    Article  PubMed  Google Scholar 

  11. Guinto G, Zamorano C, Dominguez F et al (2004) Chiari I malformation: part I. Contemp Neurosurg 26:1–7

    Google Scholar 

  12. Johnston I, Jacobson E, Besser M (1998) The acquired Chiari malformation and syringomyelia following spinal CSF drainage. Acta Neurochir 140:417–427

    Article  CAS  Google Scholar 

  13. Lancione RR Jr, Kosmorsky GS (2001) When does low mean high? Isolated cerebral ventricular increased intracranial pressure in a patient with a Chiari I malformation. J Neuroophthalmol 21:118–20

    Article  PubMed  Google Scholar 

  14. Milhorat TH, Capocelli AL Jr, Anzil AP, Kotzen RM, Milhorat RH (1995) Pathological basis of spinal cord cavitation in syringomyelia: analysis of 105 autopsy cases. J Neurosurg 82:802.812

    PubMed  Google Scholar 

  15. Pinna G, Alessandrini F, Alfieri A, Rossi M, Bricolo A (2000) Cerebrospinal fluid flow dynamics study in Chiari I malformation: implications for syrinx formation. Neurosurg Focus 8:E3

    Article  PubMed  CAS  Google Scholar 

  16. Schmitt M, Eymann R, Antes S, Kiefer M (2012) Subdural or intraparenchymal placement of long-term telemetric ICP measurement devices? Acta Neurochir Suppl 113:109–113

    Article  PubMed  Google Scholar 

  17. Sinclair N, Assaad N, Johnston I (2002) Pseudotumour cerebri occurring in association with the Chiari malformation. J Clin Neurosci 9:99–101

    Article  PubMed  Google Scholar 

  18. Sullivan HC (1991) Fatal tonsillar herniation in pseudotumor cerebri. Neurology 41:11142–1144

    Article  Google Scholar 

  19. Sullivan LP, Stears JC, Ringel SP (1988) Resolution of syringomyelia and Chiari I malformation by ventriculoatrial shunting in a patient with pseudotumor cerebri and a lumboperitoneal shunt. Neurosurgery 22:744–747

    Article  PubMed  CAS  Google Scholar 

  20. Vaphiades MS, Eggenberger ER, Miller NR, Frohman L, Krisht A (2002) Resolution of papilledema after neurosurgical decompression for primary Chiari 1 malformation. Am J Ophthalmol 133:673–678

    Article  PubMed  Google Scholar 

  21. Zervas NT, Cosman ER, Cosman BJ (1977) A pressure-balanced radio-telemetry system for the measurement of intracranial pressure. A preliminary design report. J Neurosurg 47:899–911

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

Special thanks are given to my co-workers Dr. Regina Eymann, Prof. Michael Kiefer and Dr. Sebastian Antes. The development of the telemetric ICP measurement device (P-tel, Raumedic®) has been sponsored in part by the German Federal Ministry of Education and Research (BMBF).

Conflict of interest

Dr. M. Schmitt and Dr. S. Antes have received financial support for purpose of education by Codman (Johnsson and Johnsson Company)/Raynham, MA and Aesculap (Miethke)/Tuttlingen, Germany. Dr. R. Eymann and Prof. M. Kiefer have received some financial support during the past for other than this research work by the Raumedic AG/Helmbrechts, Germany. The development of the telemetric ICP measurement device (P-tel, Raumedic®) has been sponsored in part by the German Federal Ministry of Education and Research (BMBF).

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Correspondence to Melanie Schmitt.

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Schmitt, M., Kiefer, M., Antes, S. et al. Detection of hidden pseudotumour cerebri behind Chiari 1 malformation: value of telemetric ICP monitoring. Childs Nerv Syst 28, 1811–1813 (2012). https://doi.org/10.1007/s00381-012-1749-1

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  • DOI: https://doi.org/10.1007/s00381-012-1749-1

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