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Optic nerve sheath fenestration for visual impairment in cerebral venous diseases

OBJECTIVE: Visual impairment is the most common clinical feature of cerebral venous sinus occlusion or cerebral venous thrombosis-induced intracranial hypertension, which can result in optic atrophy, leading to irreversible vision loss, visual field defections, and finally, permanent blindness. Papi...

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Autores principales: Xue, Xiao, Zhou, Chen, Gao, Yuan, Ji, Xunming, Zhang, Xuxiang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9902767/
https://www.ncbi.nlm.nih.gov/pubmed/36761350
http://dx.doi.org/10.3389/fneur.2023.1065315
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author Xue, Xiao
Zhou, Chen
Gao, Yuan
Ji, Xunming
Zhang, Xuxiang
author_facet Xue, Xiao
Zhou, Chen
Gao, Yuan
Ji, Xunming
Zhang, Xuxiang
author_sort Xue, Xiao
collection PubMed
description OBJECTIVE: Visual impairment is the most common clinical feature of cerebral venous sinus occlusion or cerebral venous thrombosis-induced intracranial hypertension, which can result in optic atrophy, leading to irreversible vision loss, visual field defections, and finally, permanent blindness. Papilledema is a typical early pathophysiological alteration in visual impairment. Optic nerve sheath fenestration (ONSF) has become increasingly accepted as an option to prevent or halt progressive visual loss owing to its low risk and complications. The objective of this study is to review the latest research progress on ONSF for the treatment of visual impairment related to cerebral venous diseases. METHODS: Study were searched following PRISMA guidelines based on three electronic databases (Pubmed, Embase and Medline-Ovid). We used the following keywords and variations as keywords to identify studies: “optic nerve sheath fenestration, papilledema, cerebral venous diseases, cerebral venous stenosis, cerebral venous thrombosis, idiopathic intracranial hypertension”. The publication date of studies was restricted between 1,872.1.1 and 2,021.12.31. The application of ONSF in papilledema due to cerebral venous diseases is reviewed. Additionally, the common surgical approaches as well as advantages and disadvantages are also described graphically. RESULTS: With the improvement of specific details of the ONSF procedure and surgical instruments, complications of ONSF have reduced and its safety has been significantly improved, although the number of clinically investigated cases in the literature remains low. CONCLUSION: We recommend that ONSF should be considered as an imperative alternative to reduce or delay the visual morbidity of cerebral venous diseases, although there is yet no consensus on the optimal surgical timing.
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spelling pubmed-99027672023-02-08 Optic nerve sheath fenestration for visual impairment in cerebral venous diseases Xue, Xiao Zhou, Chen Gao, Yuan Ji, Xunming Zhang, Xuxiang Front Neurol Neurology OBJECTIVE: Visual impairment is the most common clinical feature of cerebral venous sinus occlusion or cerebral venous thrombosis-induced intracranial hypertension, which can result in optic atrophy, leading to irreversible vision loss, visual field defections, and finally, permanent blindness. Papilledema is a typical early pathophysiological alteration in visual impairment. Optic nerve sheath fenestration (ONSF) has become increasingly accepted as an option to prevent or halt progressive visual loss owing to its low risk and complications. The objective of this study is to review the latest research progress on ONSF for the treatment of visual impairment related to cerebral venous diseases. METHODS: Study were searched following PRISMA guidelines based on three electronic databases (Pubmed, Embase and Medline-Ovid). We used the following keywords and variations as keywords to identify studies: “optic nerve sheath fenestration, papilledema, cerebral venous diseases, cerebral venous stenosis, cerebral venous thrombosis, idiopathic intracranial hypertension”. The publication date of studies was restricted between 1,872.1.1 and 2,021.12.31. The application of ONSF in papilledema due to cerebral venous diseases is reviewed. Additionally, the common surgical approaches as well as advantages and disadvantages are also described graphically. RESULTS: With the improvement of specific details of the ONSF procedure and surgical instruments, complications of ONSF have reduced and its safety has been significantly improved, although the number of clinically investigated cases in the literature remains low. CONCLUSION: We recommend that ONSF should be considered as an imperative alternative to reduce or delay the visual morbidity of cerebral venous diseases, although there is yet no consensus on the optimal surgical timing. Frontiers Media S.A. 2023-01-24 /pmc/articles/PMC9902767/ /pubmed/36761350 http://dx.doi.org/10.3389/fneur.2023.1065315 Text en Copyright © 2023 Xue, Zhou, Gao, Ji and Zhang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Xue, Xiao
Zhou, Chen
Gao, Yuan
Ji, Xunming
Zhang, Xuxiang
Optic nerve sheath fenestration for visual impairment in cerebral venous diseases
title Optic nerve sheath fenestration for visual impairment in cerebral venous diseases
title_full Optic nerve sheath fenestration for visual impairment in cerebral venous diseases
title_fullStr Optic nerve sheath fenestration for visual impairment in cerebral venous diseases
title_full_unstemmed Optic nerve sheath fenestration for visual impairment in cerebral venous diseases
title_short Optic nerve sheath fenestration for visual impairment in cerebral venous diseases
title_sort optic nerve sheath fenestration for visual impairment in cerebral venous diseases
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9902767/
https://www.ncbi.nlm.nih.gov/pubmed/36761350
http://dx.doi.org/10.3389/fneur.2023.1065315
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