Difference between revisions of "Idiopathic intracranial hypertension"
m (moved Pseudotumor Cerebri to Idiopathic Intracranial Hypertension) |
(→Background) |
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==Background== | ==Background== | ||
− | Impaired arachnoid villi absorption | + | *Impaired arachnoid villi absorption |
+ | *Also known as "Pseudotumor cerebri (PTC)" or "Benign intracranial hypertension (BIH)" | ||
==Diagnosis== | ==Diagnosis== |
Revision as of 20:13, 14 July 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