Open AccessControversies: Optic nerve sheath fenestration versus shunt placement for the treatment of idiopathic intracranial hypertension
Author(s) -
Arielle Spitze,
P. Lam,
Nagham AlZubidi,
Sushma Yalamanchili,
Andrew G. Lee
Publication year - 2014
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/0301-4738.146012
Subject(s) - medicine , shunting , pseudotumor cerebri , fenestration , shunt (medical) , surgery , randomized controlled trial , clinical trial , intracranial pressure
Idiopathic intracranial hypertension (IIH) has been increasing in prevalence in the past decade, following the obesity epidemic. When medical treatment fails, surgical treatment options must be considered. However, controversy remains as to which surgical procedure is the preferred surgical option - optic nerve sheath fenestration (ONSF) or cerebrospinal fluid (CSF) shunting - for the long-term treatment of this syndrome.