Open AccessPseudotumor cerebri-Case report
Author(s) -
Cristiicula,
Corina Suciu,
Adriana Elena Bulboacă
Publication year - 2020
Publication title -
balneo research journal
Language(s) - English
Resource type - Journals
eISSN - 2069-7619
pISSN - 2069-7597
DOI - 10.12680/balneo.2020.315
Subject(s) - pseudotumor cerebri , acetazolamide , medicine , papilledema , lumbar puncture , subarachnoid space , intracranial pressure , sclera , surgery , magnetic resonance imaging , ophthalmology , anesthesia , radiology , cerebrospinal fluid
An 46-year-old Caucasian woman was diagnosed with idiopathic intracranial hypertension (IIH) after presenting with papilledema and bilateral visual blurring. Lumbar puncture revealed an opening pressure of more than 550 mmH2O. Cerebral magnetic resonance imaging (MRI) showed bilateral flattening of the posterior sclera, enhancement of the prelaminar optic nerve, distension of the perioptic subarachnoid space, intraocular protrusion of the prelaminar optic nerve and empty sella. The main purpose of the treatment was to release the symptoms and preserve the vision. It was initiated the general treatment with Mannitol 20%, 250 ml/day, Acetazolamide 2x500 mg/day and B-vitamins. After discharge the patient followed a treatment with acetazolamide 2x250 mg/ daily doses and oral potassium supplements 30 mg bid/day.Key words: pseudotumor cerebri, idiopatic intracranial hypertension, papilledema,