A Case of Idiopathic Intracranial Hypertension Associated with Obesity.
- Author:
Se Hong KIM
1
;
A Reum HAN
;
Kyung Soo KIM
Author Information
1. Department of Family Medicine, Kangnam St. Mary's Hospital, College of Medicine, Catholic University, Korea. kskim@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
idiopathic intracranial hypertension;
pseudotumor cerebri;
obesity
- MeSH:
Acetazolamide;
Adult;
Female;
Furosemide;
Headache;
Humans;
Intracranial Pressure;
Magnetic Resonance Imaging;
Obesity*;
Papilledema;
Pseudotumor Cerebri*;
Spinal Puncture;
Visual Fields;
Weight Loss
- From:Journal of the Korean Academy of Family Medicine
2007;28(8):626-630
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Idiopathic intracranial hypertension, or Pseudotumor cerebri is a disorder characterized by symptoms and signs of a space-occupying intracranial mass without any evidence of mass or ventricular obstruction. We experienced a 28 years old obese woman who was presented with headache and progressive visual disturbance for one month. She presented bilateral papilledema with visual field defect. On MRI investigation no intracranial abnomality were observed. Lumbar puncture showed increased intracranial pressure and normal biochemical and cellular findings. The patient was diagnosed idiopathic intracranial hypertension and treated with therapeutic lumbar puncture, acetazolamide, furosemide, weight control and symptoms resolved gradually. We conclude that weight reduction is difficult to accomplish but always needed in idiopathic intracranial hypertension.
