Outcomes of Optic Nerve Sheath Fenestration Surgery in Children with Pseudotumor Cerebri Syndrome

1

Pseudotumor cerebri syndrome (PTCS) is characterized by elevated intracranial pressure with normal cerebrospinal fluid composition.
2

The incidence of pediatric PTCS is estimated at 0.5 to 1.2 per 100,000 children, with a higher prevalence in females and obesity.
3

Approximately 10% of pediatric PTCS cases require surgical intervention due to inadequate response to medical therapy.
4

Optic nerve sheath fenestration (ONSF) is chosen for its direct optic nerve decompression and lower systemic complication risk.
5

The study evaluated clinical outcomes of ONSF in pediatric PTCS patients, focusing on visual acuity and safety over a 6-month follow-up.

1