ArticleJournal of neurosurgery. Case lessons2025
Management of pediatric nontraumatic intracranial hypertension with a lumbar drain: illustrative cases.
Article in Journal of neurosurgery. Case lessons, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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1 citing paper in PubMed.
- "Preventing vision loss in pediatric otogenic thrombosis: a case report highlighting surgical interventions".Frontiers in ophthalmology · 2026Article
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3 authors.
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Abstract
backgroundTwo cases detailing the management of intracranial hypertension via a lumbar drain (LD) in both autoimmune and infectious encephalitis are reported. OBSERVATIONS: Intracranial hypertension was noted with both etiologies, which improved with immediate and continuous CSF drainage with a diversion device. Treatment of elevated intracranial pressures correlated with symptom control. With multimodal management, both patients demonstrated clinical improvement and intracranial hypertension resolution without the need for a permanent diversion device. After discharge, both patients exhibited near neurological recovery. LESSONS: Use of an LD has been documented and studied in primarily adult patients with acute bacterial meningitis. However, several small case studies and series have shown safety and utility of CSF diversion in encephalitis. Meningoencephalitis is associated with intracranial hypertension, which may be managed with temporary CSF diversion. https://thejns.org/doi/10.3171/CASE25209.
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