OCCURRENCE OF PSEUDOTUMOR CEREBRI (BENIGN INTRACRANIAL HYPERTENSION) DURING TREATMENT OF CHILDREN WITH ASTHMA BY ADRENAL STEROIDS

PEDIATRICS ◽  
1959 ◽  
Vol 23 (6) ◽  
pp. 1143-1151
Author(s):  
Susan C. Dees ◽  
Hamilton W. Mckay
Keyword(s):  
Intracranial Hypertension ◽  
Steroid Therapy ◽  
Pseudotumor Cerebri ◽  
Steroid Treatment ◽  
Benign Intracranial Hypertension ◽  
Adrenal Steroids ◽  
Sequence Of Events ◽  
Withdrawal Of Treatment ◽  
Small Doses ◽  
Children With Asthma

The development of pseudotumor cerebri (benign intracranial hypertension) is described in three young boys with asthma, who were receiving small doses of adrenal steroids during a stage of withdrawal of treatment. These patients had received continuous steroid treatment for several years, beginning in late infancy. They had acquired the appearance of Cushing's disease. The mechanism by which pseudotumor cerebri developed in these three children was not determined. Various hypotheses are discussed. Attention is called to the sequence of events in these children with asthma as another possible complication of prolonged use of steroid therapy.

Cushing's Disease in Childhood: Benign Intracranial Hypertension after Trans-sphenoidal Adenomectomy

Neurosurgery ◽  
1983 ◽  
Vol 13 (2) ◽  
pp. 195-198 ◽  
Author(s):  
Mark N. Weissman ◽  
Larry K. Page ◽  
Raphael L. Bejar
Keyword(s):  
Intracranial Hypertension ◽  
Steroid Therapy ◽  
Cushing’S Disease ◽  
Adrenocorticotropic Hormone ◽  
Serum Cortisol ◽  
Cushing's Disease ◽  
Benign Intracranial Hypertension ◽  
Pituitary Microadenoma

Abstract A 7-year-old girl presented with the physical and endocrinological stigmata of Cushing's disease. An adrenocorticotropic hormone (ACTH)-producing pituitary microadenoma was excised. Three weeks after trans-sphenoidal adenomectomy, the patient developed benign intracranial hypertension. Although ACTH levels had decreased to normal, the serum cortisol had fallen to subnormal levels. The child responded to exogenous steroid therapy, which was gradually tapered and discontinued after 5 months. Normal pituitary and adrenal functions persist 2 years later.

scholarly journals Benign Intracranial Hypertension: A Diagnostic Dilemma

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Gary Y. Shaw ◽  
Stephanie K. Million
Keyword(s):  
Intracranial Hypertension ◽  
Signs And Symptoms ◽  
Pseudotumor Cerebri ◽  
Empty Sella ◽  
Definitive Diagnosis ◽  
Benign Intracranial Hypertension ◽  
Imaging Studies ◽  
Diagnostic Challenge ◽  
Diagnostic Dilemma ◽  
Empty Sella Syndrome

Benign intracranial hypertension (BIH) (also known as pseudotumor cerebri and empty sella syndrome) remains a diagnostic challenge to most physicians. The modified Dandy criteria consist of, the classic findings of headache, pulsatile tinnitus, papilledema, and elevated cerebrospinal fluid (CSF) pressure, however, these are rarely collectively present in any one patient. Furthermore, these findings can wax and wane over time. Due to the nature of this disease, both signs and symptoms may be intermittent, making definitive diagnosis difficult. Newer imaging studies, particularly the magnetic resonance venogram (MRV) along with a constellation of correlative findings and associated diseases have given new impetus in the diagnosis, treatment, and pathophysiology of this disease. This has led the authors to offer modifications to the classic Dandy criteria. This report presents three representative cases of BIH highlighting many of the newer advances in both diagnosis and treatment of this perplexing disorder.

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