Pseudotumor Cerebri following Eclampsia

Koppel, Barbara S.; Kaunitz, Andrew M.; Tuchman, Alexander

doi:10.1159/000116615

Cited by 4 publications

(2 citation statements)

References 12 publications

(17 reference statements)

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“…Greer [19] speculated that IIH in pregnancy was due to a physiologic decrease in serum cortisol with a relative adrenal cortical insufficiency during pregnancy. Koppel et al [18] studied the estrogen, progesterone, prolactin, and cortisone levels and found increases during pregnancy, especially in the last trimester, and they associated this to the temporal distribution of IIH in several series. However, no theory has been accepted as a current hypothesis.…”

Section: Pregnancy and Idiopathic Intracranial Hypertensionmentioning

confidence: 98%

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Medical and surgical management of idiopathic intracranial hypertension in pregnancy

Tang

Dorotheo

Schiffman³

et al. 2004

Curr Neurol Neurosci Rep

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Idiopathic intracranial hypertension (IIH) is a syndrome of increased intracranial pressure without hydrocephalus or mass lesion with elevated cerebrospinal fluid (CSF) pressure but otherwise normal CSF composition. It has been found that pregnancy occurs in IIH patients at about the same rate as in the general population, that IIH can occur in any trimester of pregnancy, that patients have the same spontaneous abortion rate as the general population, and that the visual outcome is the same as for nonpregnant patients with IIH. Although it is also stated that pregnant patients with IIH should be managed and treated the same way as any other patient with IIH, the use of imaging and drug contraindications do make a difference between the two groups. The treatment has two major goals, which are to preserve vision and to improve symptoms. The medical therapy includes weight control, nonketotic diet, serial lumbar punctures, diuretics, steroids, and certain analgesics. When medical therapy fails, surgical procedures should be considered. The two main procedures are optic nerve sheath fenestration and lumboperitoneal shunt. Anesthetic considerations in the pregnant patient are an additional factor when surgeries are contemplated. It is also noted that therapeutic abortion to limit progression of disease is not indicated and that subsequent pregnancies do not increase the risk of recurrence.

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Section: Pregnancy and Idiopathic Intracranial Hypertensionmentioning

confidence: 98%

“…There have been isolated reports of IIH in pregnant patients with hyperemesis gravidarum [17] and also eclampsia [18]. These are rare associations Pathophysiology There is no known mechanism, with the most popular hypothesis being that IIH is a syndrome of reduced CSF absorption.…”

Section: Pregnancy and Idiopathic Intracranial Hypertensionmentioning

confidence: 99%