Pseudotumor Cerebri in Pregnancy

Koontz, William L.; Herbert, William N.P.; Cefalo, Robert C.

doi:10.1097/00006250-198309000-00012

Cited by 30 publications

(13 citation statements)

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“…However, uterine contractions cause increased blood pressure and consequently, increased CSF pressure. ‘These exacerbations of CSF pressure superimposed on pre-existing papilledema may result in untoward visual effects sometimes resulting in permanent loss of vision’ 14. Our patient was asymptomatic during pregnancy and underwent cesarean section for obstetric indications.…”

Section: Discussionmentioning

confidence: 75%

“…Epidural analgesia is a good choice as it is associated with minimal hemodynamic changes during contractions 12. The Second stage of labor can be shortened by instrumental delivery to prevent increase in CSF pressure during bearing-down efforts 14. For cesarean delivery, regional anesthesia is a better choice as general anesthesia may be associated with a rise in CSF pressure.…”

Section: Discussionmentioning

confidence: 99%

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Idiopathic intracranial hypertension presenting as postpartum headache

Mathew

Salahuddin

Mathew

et al. 2016

NSJ

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Postpartum headache is described as headache and neck or shoulder pain during the first 6 weeks after delivery. Common causes of headache in the puerperium are migraine headache and tension headache; other causes include pre-eclampsia/eclampsia, post-dural puncture headache, cortical vein thrombosis, subarachnoid hemorrhage, posterior reversible leukoencephalopathy syndrome, brain tumor, cerebral ischemia, meningitis, and so forth. Idiopathic intracranial hypertension (IIH) is a rare cause of postpartum headache. It is usually associated with papilledema, headache, and elevated intracranial pressure without any focal neurologic abnormality in an otherwise healthy person. It is more commonly seen in obese women of reproductive age group, but rare during pregnancy and postpartum. We present a case of IIH who presented to us 18 days after cesarean section with severe headache and was successfully managed.

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Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Idiopathic intracranial hypertension presenting as postpartum headache

Mathew

Salahuddin

Mathew

et al. 2016

NSJ

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“…If progression continues, it would appear that repeated lumbar puncture or continuous spinal fluid drainage for 48 hours can be beneficial in improving vision. Refractory cases can be treated by surgical intervention [ (10,11]. Avoidance of carbonic anhydrase inhibitors is possible and therapeutic abortion is not indicated.…”

Section: Discussionmentioning

confidence: 99%

Idiopathic intracranial hypertension in pregnancy

Huna‐Baron

Kupersmith²

2002

Journal of Neurology

100

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“…It seems that symptoms worsen during pregnancy in 50% of patients and usually resolve postpartum. 31,32 Although the pathogenesis of raised intracranial pressure in IIH remains unclear, the most widely accepted theory is impaired absorption of CSF in the arachnoid villi. It has been suggested that this might be due to raised venous pressure from venous outflow obstruction.…”

Section: Presentation and Pathogenesis Of Iihmentioning

confidence: 99%

“…Cerebrospinal fluid pressure increases in response to myometrial contractions and is associated with increases in central venous pressure, stroke volume, cardiac output, and arterial blood pressure. 32 Although such increases in CSF pressure are independent of pain, pain may exaggerate the response. Specifically, elevations in ICP are related to skeletal muscle contractions in response to pain, so that epidural analgesia might in fact attenuate rises in ICP.…”

Section: Vaginal Delivery and Anesthesiamentioning

confidence: 99%