Idiopathic intracranial hypertension or pseudotumour cerebri? The conundrum of nomenclature in the presence of normal cerebrospinal fluid pressures
Journal Title: IP Indian Journal of Anatomy and Surgery of Head, Neck and Brain - Year 2018, Vol 4, Issue 4
Abstract
Idiopathic Intracranial Hypertension IIH also known as Pseudo tumour cerebri PTC is a condition in which the patient presents with signs and symptoms of increased intracranial pressure with no demonstrable organic cause in the brain imaging including venous sinus thrombosis and with normal cerebrospinal fluid CSF composition Atypical cases of IIH have been reported periodically and an important subset of these patients have normal CSF Opening pressure OP on lumbar puncture LP Application of strict criteria for diagnosing such patients needs reconsiderationWe present 7 cases of IIH with normal CSF Opening pressures out of 30 consecutive patients of suspected IIH admitted to the neurosurgery ward of a tertiary care hospital over a period of 2 years kindling interest in nomenclature and diagnostic dilemma if strict criteria are adhered to Keywords Idiopathic intracranial hypertension IIH Pseudo tumour cerebri PTC Opening pressure Lumbar puncture Normal CSF pressures
Authors and Affiliations
K Prabhuraman, P Magesh, A Sendil Kumar
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