Management of Pseudo Tumor Cerebri by Frequent Tapping VS lumboperitoneal Shunt
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 72, Issue 5
Abstract
<strong>Background: </strong>The syndrome known as pseudotumor cerebri (PTC) is generally thought of as a condition characterized by increased intracranial pressure (ICP) without evidence of dilated ventricles or a mass lesion by imaging, normal cerebrospinal fluid (CSF) content, and papilledema occurring in most cases in young, obese women without any clear explanation. <strong>Aim of the Work:</strong> to highlight the early diagnosis, causes of visual deterioration of idiopathic intracranial hypertension, its pathophysiology will be discussed. Special emphasis will be given for trends in management of this disease especially frequent tapping and lumboperitoneal shunt and comparing results of both techniques. <strong>Patients and Methods:</strong> This prospective and retrospective study was conducted on 20 patients of special criteria confirmed to have pseudotumor cerebri by clinical presentation, radiological findings, fundus and visual field examination. <strong>Results:</strong> The papilledema of PTC was identical with that in patients with other causes of increased ICP. In most of cases it was bilateral symmetrical, however it was asymmetric in 1% of cases. In the frequent tapping patients group, results showed improvement of all symptoms in about 80% of patients. And in 20% of patients there were persistent complaints especially headache and blurred vision. In the lumboperitoneal shunt group, 65% of Cases showed improvement of all symptoms while 35% of cases showed shunt failure and complications. <strong>Conclusion: </strong>Concerning the category of patients participated in this study, and particularly with whom medical measures were failing, consideration should be given to investigation of the cranial venous outflow tract with a view to some therapeutic intervention if appropriate.
Authors and Affiliations
Eman Helal
Keywords
Related Articles
- EP ID EP584180
- DOI 10.12816/ejhm.2018.9545
- Views 126
- Downloads 0
Gallstone Ileus: Case Report of a Rare Cause of Intestinal Obstruction in An Unexpected Age Group
<strong>Background: </strong>gallstone ileus is a rare complication of cholelithiasis and considered as a type of mechanical bowel obstruction in which a gallstone is impacted in the gastrointestinal tract. This conditio...
Is Neutrophil/Lymphocyte Ratio A Useful Marker to Predict the Severity of Pre-Eclampsia?
Background: Preeclampsia refers to the new onset of hypertension and proteinuria or hypertension and end-organ dysfunction with or without proteinuria after 20 weeks of gestation in a previously normotensive woman. Objec...
Role of Magnetic Resonance Urography in Diagnosis of Pediatric Obstructive Uropathy: A Surgeon Perspective
<strong>Background:</strong> Obstructive uropathy is a group of different pathologies. Congenital obstructive uropathy represents a major cause of renal failure in infants and children. Urinary tract obstruction is defi...
Serum Vascular Endothelial Growth Factor Levels in Asthmatic Children
Background: Bronchial asthma is a heterogeneous disease, which is usually characterized by chronic airway inflammation. Asthma is a global problem with 300 million affected individuals. Angiogenesis has been recognized a...
Assessment of Clinical Competences and Self-confidence of Radiologist and Technologist at Asir Region Hospitals, Saudi Arabia
<strong>Background: </strong>Evaluating the clinical competencies of radiologist and technologist is the primary important factor in all medical imaging areas, and it is a necessary prerequisite for assuring professional...