Polyneuritis, Papilledema, and Lumbo peritoneal Shunt
- 1 September 1969
- journal article
- research article
- Published by American Medical Association (AMA) in Archives of Neurology
- Vol. 21 (3) , 253-257
- https://doi.org/10.1001/archneur.1969.00480150043005
Abstract
SINCE the original report of papilledema and polyneuritis by Gilpin et al,1there have been two theories offered for the causation of the papilledema. The first proposed was that protein interfered with absorption of cerebrospinal fluid (CSF) because of its deposition in the arachnoidal villi.2The second stated that there was chronic swelling of the brain in the absence of inflammation or demyelination, especially in neurons, demonstrable by histological examination of a biopsy specimen.3The concept of CSF absorption block has been recently questioned because of the poor correlation between CSF protein levels and the development of papilledema.4It has been suggested that the alternate concept is not established because the white matter water content was not measured in the case report.4,5The purpose of this paper is to report a case of chronic polyneuritis developing papilledema two years after onset, who then wasKeywords
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