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Pseudotumor cerebri - Treatment

Alternative Names

Idiopathic intracranial hypertension; Benign intracranial hypertension

Treatment:

Treatment must be directed at the specific cause of the pseudotumor.

A lumbar puncture can help relieve pressure within the brain and prevent vision problems.

Other treatments may include:

  • Fluid or salt restrictions
  • Medications such as corticosteroids, glycerol, acetazolamide, and furosemide
  • Shunting procedures to relieve pressure due to spinal fluid retention
  • Surgery to relieve pressure on the optic nerve
  • Weight loss

The patient will need their vision closely monitored, since there is potential for progressive and sometimes permanent visual loss. Follow-up MRI or CT scans may be done to rule out hidden cancer.

Expectations (prognosis):

Sometimes the condition disappears on its own within 6 months. About 10-20% of persons have their symptoms return. A small number of patients have symptoms that slowly get worse and lead to blindness.

Complications:

Vision loss is a serious complication of this condition.

Calling your health care provider:

Call your health care provider if you or your child experience the symptoms listed above.

  • Reviewed last on: 1/17/2008
  • A.D.A.M. Editorial Team: David Zieve, MD, MHA, Greg Juhn, MTPW, David R. Eltz, Kelli A. Stacy, ELS. Previously reviewed by Daniel Kantor, MD, Director of the Comprehensive MS Center, Neuroscience Institute, University of Florida Health Science Center, Jacksonville, FL. Review provided by VeriMed Healthcare Network (3/5/2007).

References

Jonnalagadda J. Lithium, minocycline, and pseudotumor cerebri. J Am Acad Child Adolesc Psychiatry. March 1, 2005; 44(3): 209.

Behrman RE. Nelson Textbook of Pediatrics. 17th ed. Philadelphia, Pa: WB Saunders; 2004; 2048-2049.