Idiopathic intracranial hypertension aka pseudotumor cerebri
5.7 هزار بار بازدید -
پارسال
-
Risk factors:
Women of childbearing
Risk factors:
Women of childbearing age
Recent weight gain/obesity
Medications (eg, retinoids/vitamin A, tetracyclines, growth hormone)
Pathophysiology: Impaired CSF resorption & intracranial venous hypertension
Signs / symptoms:
Headache/nausea/vomiting
Visual changes (transient obscurations; vision loss; diplopia due to abducens nerve [CN VI] palsy)
Pulsatile tinnitus
Retrobulbar pain/neck pain/back pain
Diagnosis:
Papilledema & enlarged blind spots
MRI to rule out mass lesions/hydrocephalus
MR venography to rule out venous thrombosis
Lumbar puncture: elevated opening pressure
Treatment:
Weight loss, including bariatric surgery
Carbonic anhydrase inhibitor (acetazolamide, topiramate)
پارسال
در تاریخ 1402/05/22 منتشر شده
است.
5,708
بـار بازدید شده