Diferencia entre revisiones de «Idiopathic intracranial hypertension»
m (moved Pseudotumor Cerebri to Idiopathic Intracranial Hypertension) |
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| Línea 1: | Línea 1: | ||
==Background== | ==Background== | ||
Impaired arachnoid villi absorption | *Impaired arachnoid villi absorption | ||
*Also known as "Pseudotumor cerebri (PTC)" or "Benign intracranial hypertension (BIH)" | |||
==Diagnosis== | ==Diagnosis== | ||
Revisión del 20:13 14 jul 2011
Background
- Impaired arachnoid villi absorption
- Also known as "Pseudotumor cerebri (PTC)" or "Benign intracranial hypertension (BIH)"
Diagnosis
- Young, obese females
- Headache (worse in AM/ with manuvers increasing ICP)
- Papilledema (optic atrophy/vision loss)
- Neuro exam frequently normal
Work-Up
- CT scan (negative)
- LP (CSF pressure 25-40)
Treatment
- Repeate LPs (decrease CSF pressure)
- Diamox
- Weight loss
- Shunt
- Optic nerve sheath fenestration
Disposition
Admit for:
- Severe pain
- Focal findings
- Vision changes