Conjunctival oedema as a potential objective sign of intracranial hypertension: a short illustrated review and three case reports

Toalster, Nicholas and Jeffree, Rosalind L. (2013) Conjunctival oedema as a potential objective sign of intracranial hypertension: a short illustrated review and three case reports. Acta Neurochirurgica, 155 11: 2159-2163. doi:10.1007/s00701-013-1797-7


Author Toalster, Nicholas
Jeffree, Rosalind L.
Title Conjunctival oedema as a potential objective sign of intracranial hypertension: a short illustrated review and three case reports
Journal name Acta Neurochirurgica   Check publisher's open access policy
ISSN 0001-6268
0942-0940
Publication date 2013-01-01
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1007/s00701-013-1797-7
Open Access Status Not Open Access
Volume 155
Issue 11
Start page 2159
End page 2163
Total pages 5
Place of publication Wien, Austria
Publisher Springer
Language eng
Subject 2728 Clinical Neurology
2746 Surgery
Abstract Periorbital and conjunctival oedema has been reported anecdotally by patients with raised intracranial pressure states. We present three clinical cases of this phenomenon and discuss the current evidence for pathways by which cerebrospinal fluid (CSF) drains in relation to conjunctival oedema. We reviewed the available literature using PubMed, in regards to conjunctival oedema as it relates to intracranial hypertension, and present the clinical history, radiology and orbital photographs of three cases we have observed. Only one previous publication has linked raised intracranial pressure (ICP) to conjuctival oedema. The weight of evidence supports the observation that the majority of CSF drains along the cranial nerves as opposed to via the arachnoid projections. Conjunctival oedema may be a clinical manifestation of CSF draining via the optic nerve in elevated ICP states.
Keyword Cerebrospinal fluid
Chemosis
Conjunctiva
Intracranial hypertension
Oedema
Periorbital
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collection: School of Medicine Publications
 
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