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Pseudotumor Cerebri

0 It is an increase in intracranial pressure without an intracranial space-occupying lesion.

0 Very often diffuse headache is the initial symptom.

0 It most commonly develops idiopathic.

0 It is more common in women.

0 Associated states:

 Obesity

 Recent significant weight gain

 Systemic hypertension

 Hypervitaminosis A, vitamin A deficiency

 Hypo-Hyperthyroidism

 Pregnancy, use of OCS

 Tetracycline, lithium

0 All findings related to IICP can be seen.

0 Worsening of IICP findings with forward bending and valsalva is important in the diagnosis of pseudotumor cerebri.

0 Decreased visual acuity is one of the most important findings. There may be vision loss due to secondary optic atrophy.

0 In the examination, radiological imaging (MRI) must be performed after the visual examination.

0 Definitive diagnosis is made when CSF pressure is above 200 mmHp in LP.

0 Water and salt restriction in medical treatment, diuretics, steroids (long-term use is not recommended)

0 Shunt surgery is performed in resistant cases. 

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