Pseudotumour cerebri (idiopathic intracranial hypertension)

Case contributed by Dr Sajoscha Sorrentino

Presentation

Patient presented with pulsating headache and fluctuating visual problems. Opthalmologic examination showed papilloedema.

Patient Data

Age: 40
Gender: Female

You can see the typical partial empty sella turcica (e.g. 2-12 on the sagittal and 4-8 on the axial view) and the papilloedema (e.g. 4-9 on the axial view).

Case Discussion

Imaging of the brain with CT and MRI is essential in patients with idiopathic intracranial hypertension, to exclude elevated cerebrospinal fluid pressure due to brain tumour, dural sinus thrombosis, hydrocephalus etc...

Treatment options include CSF letting, acetazolamide and lumboperitoneal shunts. In patients with progressive visual deterioration optic nerve fenestration to preserve vision.

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Case information

rID: 16023
Case created: 5th Dec 2011
Last edited: 8th Oct 2015
Inclusion in quiz mode: Included

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