关键词: Benign intracranial hypertension Intracranial lymphatic system Kaposiform lymphangiomatosis Pseudotumor cerebri Ventriculoperitoneal shunting

Mesh : Child, Preschool Hemangioendothelioma / diagnostic imaging surgery Humans Kasabach-Merritt Syndrome / diagnostic imaging surgery Lymphangioma / diagnostic imaging surgery Male Pseudotumor Cerebri / diagnostic imaging surgery Sarcoma, Kaposi / diagnostic imaging surgery Ventriculoperitoneal Shunt / methods

来  源:   DOI:10.1007/s00381-018-3794-x

Abstract:
A 4-year-old boy with kaposiform lymphangiomatosis (KLA) developed progressive headaches and papilloedema and was diagnosed with pseudotumor cerebri initially treated with acetazolamide. Clinical deterioration prompted placement of a ventriculoperitoneal shunt. After the surgery, the child\'s condition has markedly improved.
A network of intracranial lymphatics is presently being investigated. Neuroimaging excluded KLA infiltration of the skull and/or meninges, leaving as the most plausible explanation for the child\'s pseudotumor cerebri the existence of an increase in intracranial venous pressure by venous compression at the thorax. To our knowledge, our case constitutes the first report of pseudotumor cerebri occurring in the context of KLA.
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