{"id":214,"date":"2014-08-15T15:27:01","date_gmt":"2014-08-15T15:27:01","guid":{"rendered":"https:\/\/docneuro.jz7sunfr-liquidwebsites.com\/pseudotumor-cerebri\/"},"modified":"2014-08-15T15:27:01","modified_gmt":"2014-08-15T15:27:01","slug":"pseudotumor-cerebri","status":"publish","type":"post","link":"https:\/\/docneuro.com\/pseudotumor-cerebri\/","title":{"rendered":"Pseudotumor cerebri"},"content":{"rendered":"<p><span style=\"line-height: 1.3em;\">Pseudotumor cerebri, more correctly termed idiopathic intracranial hypertension (IIH), typically presents with headaches, transient visual obscurations, and pulsatile tinnitus.<\/span><\/p>\n<p>  <!--more-->  <\/p>\n<p>The image shows optic disc swelling, commonly called &#8220;papilledema.&#8221; This is a sign of increased intracranial pressure and presents with headaches and if chronic produces enlarged blind spots.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\" size-full wp-image-495\" src=\"https:\/\/docneuro.com\/wp-content\/uploads\/2014\/08\/Papilledema.jpg\" border=\"0\" alt=\"\" width=\"277\" height=\"266\" \/><\/p>\n<p>Image attribution:\u00a0<a href=\"http:\/\/commons.wikimedia.org\/wiki\/File:Papilledema.jpg#mediaviewer\/File:Papilledema.jpg\" target=\"_blank\" rel=\"noopener noreferrer\">&#8220;Papilledema&#8221; by Jonathan Trobe, M.D. &#8211; University of Michigan Kellogg Eye Center &#8211; The Eyes Have It. Licensed under Creative Commons Attribution 3.0 via Wikimedia Commons<\/a>.<\/p>\n<p>The\u00a0<strong>differential diagnosis<\/strong>\u00a0for papilledema includes anything that increase intracranial pressure, including an intracranial mass, hydrocephalus, or idiopathic intracranial hypertension (AKA pseudotumor cerebri).<\/p>\n<p>IIH (pseudtumor) occurs most frequently, but not exclusively, in young, overweight females. It is often precipitated by recent weight gain, and there is an association with use of birth control pills, vitamin A, antibiotics in the tetracycline family, and cessation of steroids.<\/p>\n<p><strong>Diagnosis\u00a0<\/strong>requires normal brain imaging (there are subtle but inconsistent MRI signs sometimes suggestive of pseudotumor, but there should be no intracranial masses or hydrocephalus) and a lumbar puncture to measure opening pressure (positive if greater that 25 cm of H2O).<\/p>\n<p><strong>Treatment\u00a0<\/strong>includes cessation of offending medications, weight loss, therapeutic lumbar punctures with CSF removal, and inhibitors of CSF production (acetazolamide or topirimate). For medication-resistant cases CSF shunting might be required.<\/p>\n<p>\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pseudotumor cerebri, more correctly termed idiopathic intracranial hypertension (IIH), typically presents with headaches, transient visual obscurations, and pulsatile tinnitus.<\/p>\n","protected":false},"author":2,"featured_media":495,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[8],"tags":[507,508,509],"aioseo_notices":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Pseudotumor cerebri - DocNeuro<\/title>\n<meta name=\"description\" content=\"Drief description of the clinical presentation of pseudotumor cerebri.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/docneuro.com\/pseudotumor-cerebri\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pseudotumor cerebri - DocNeuro\" \/>\n<meta property=\"og:description\" content=\"Drief description of the clinical presentation of pseudotumor cerebri.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/docneuro.com\/pseudotumor-cerebri\/\" \/>\n<meta property=\"og:site_name\" content=\"DocNeuro\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/DocNeuro\/\" \/>\n<meta property=\"article:published_time\" content=\"2014-08-15T15:27:01+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/docneuro.com\/wp-content\/uploads\/2014\/08\/Papilledema.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"277\" \/>\n\t<meta property=\"og:image:height\" content=\"266\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Naoum P. 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