Signs and symptoms of increased intracranial pressure (e.g., headache, vomiting, ocular manif...
Headache
Blurred vision
Transient visual darkening
Stiff neck
Pulsatile tinnitus
Dizziness
Infants and young children may present with irritability, somnolence, or ataxia.
IIH should be cons...
For patients with mild to moderate visual loss, acetazolamide, a carbonic anhydrase inhibitor that decreases CSF production, is the drug of choice.
The pediatric dosage is...
Initially, patients should have visual acuity, visual fields, and fundi evaluated weekly or biweekly.
If vision is stable, monthly visits may be ...
Avery RA, Licht DJ, Shah SS, et al. CSF opening pressure in children with optic nerve head edema. Neurology. 2011;76(19):1658–1661. [View Abstract on OvidInsights]
Matthews YY,...
Q: What are the side effects of acetazolamide?
A: Side effects of acetazolamide include GI upset, paresthesias, loss of appetite, drowsiness, metabolic acidosis, and renal stones. An alternative is...
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Figure 9.26. Pseudotumor cerebri. Papilledema in a 24-year-old, obese woman with severe headaches and obscuration of vision. The opening spinal fluid pressure was 600 mm H2O. A: Right eye. B: Left eye.
Figure 9.26. Pseudotumor cerebri. Papilledema in a 24-year-old, obese woman with severe headaches and obscuration of vision. The opening s...
FIGURE 11.3. Papilledema in 10-year-old girl with pseudotumor cerebri. The disc margins are elevated, and the retinal veins are tortuous and distended. (Courtesy of Dr. Robert Hepler, Department of Ophthalmology, University of California, Los Angeles, UCLA School of Medicine.)
FIGURE 11.3. Papilledema in 10-year-old girl with pseudotumor cerebri. The disc margins are elevated, and the retinal veins are tortuous a...