Abstract #915: The Confounding Effect of Pregnancy on Headaches From Intracranial Hypertension (Pseudotumor Cerebri) That was Treated with Dextroamphetamine Sulfate During the First Trimester

2017 ◽  
Vol 23 ◽  
pp. 199-200
Author(s):  
Jerome Check ◽  
Arti Jessie Roopnarine ◽  
Rachael Cohen ◽  
Gabrielle DiAntonio
Author(s):  
I. Elamouri ◽  
I. Aissaoui ◽  
H. Tahiri ◽  
H. Saadi ◽  
A. Mimouni

In this work, study report the case of a 23-year-old primigravidae, in whom an idiopathic intracranial hypertension (IIH), formerly called pseudotumor cerebri, was diagnosed in the first trimester with visual field impairment, the management of which was similar to cases of benign intracranial hypertension in the general population. The parturient put under medical treatment with ophthalmological and obstetrical follow-up until 39 weeks of amenorrhea where she was cesarized for rescue of the visual prognosis. The objective of this work is to elucidate this pathology, caused by a defect of reabsorption of the CSF by the arachnoid plexus. The diagnosis is retained after elimination by radio-biological exploration of an infectious, tumor or traumatic etiology. Idiopathic intracranial hypertension has no impact on the evolution of pregnancy. In addition, the choice of delivery route is dependent on the patient's visual prognosis being brought into play.


2018 ◽  
Vol 37 (01) ◽  
pp. 58-62 ◽  
Author(s):  
Fernando Costa ◽  
Othello Fabião Neto ◽  
Guilherme Gago ◽  
Otávio Martins ◽  
Frederico Gibbon ◽  
...  

AbstractPseudotumor cerebri is a relatively common pathology that is characterized by intracranial hypertension in the absence of mass lesions. It commonly affects young and obese women, and its presentation with visual loss and bilateral papilledema is well-described in the literature. We present a case of a 44-year-old, non-obese, female patient presenting with unilateral papilledema and iron-deficiency anemia. This case emphasizes this unusual presentation and the rare association with iron deficiency.


BMC Neurology ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Wanglu Hu ◽  
Chun Wang ◽  
Qun Wu ◽  
Yike Chen ◽  
Wei Gao ◽  
...  

Abstract Background Isolated onset of intracranial hypertension due to spinal cord tumor is rare, thus, easily leading to misdiagnosis and delay in effective treatment. Case presentation Herein, we describe a 45-year-old female patient who manifested isolated symptoms and signs of intracranial hypertension and whose condition was initially diagnosed as idiopathic intracranial hypertension and transverse sinus stenosis. The patient received a stent implantation; however, no improvements were observed. One year later her symptoms exacerbated, and during rehospitalization a spinal imaging examination revealed a lumbar tumor. Pathologic evaluation confirmed schwannoma, and tumor resection significantly improved her symptoms, except for poor vision. Conclusions Space-occupying lesions of the spine should be considered in the differential diagnosis of idiopathic intracranial hypertension, even in the absence of spine-localized signs or symptoms.


2015 ◽  
Vol 8 (10) ◽  
pp. e41-e41 ◽  
Author(s):  
Hugh Stephen Winters ◽  
Geoff Parker ◽  
Gabor Michael Halmagyi ◽  
Ankur Mehta ◽  
Thomas Atkins

A patient presented with recurrent severe pseudotumor cerebri (PTC). Transverse sinus stenting is a very effective treatment option, however stenosis and intracranial hypertension can recur. In our patient, stenting initially resulted in resolution of papilloedema. However, after 5 years, a new stenosis developed which required further stenting. This case highlights the fact that, in patients with PTC who undergo transverse sinus stenting, a small proportion require repeat treatment due to formation of a new stenosis, usually adjacent to the existing stent. Patients with severe disease, such as ours, may be at higher risk of recurrence. Regardless of the severity, all patients who undergo stenting should have regular ocular follow-up.


2004 ◽  
Vol 138 (1) ◽  
pp. 109-113 ◽  
Author(s):  
Prem S. Subramanian ◽  
Nitza Goldenberg-Cohen ◽  
Salil Shukla ◽  
Lawrence J. Cheskin ◽  
Neil R. Miller

Sign in / Sign up

Export Citation Format

Share Document