Pseudotumor Cerebri Syndrome with Isolated Complete Oculomotor Nerve Paralysis Without Papilledema
Abstract
Pseudotumor cerebri syndrome progresses with headache, papilledema, pulsatile tinnitus and sixth cranial nerve palsy, but some cases may present with atypical presentation findings. In these patients, the diagnosis is suspected with magnetic resonance imaging findings, and this diagnosis can be made with further examinations after alternative diagnoses have been ruled out. Even if it progresses with atypical findings, the diagnosis of pseudotumor cerebri syndrome should be kept in mind in suspected cases and further investigations should be performed. Early diagnosis and treatment are important to prevent complications. This case is remarkable because it is pseudotumor cerebri syndrome with atypical findings.
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References
- 1. Friedman DI. The pseudotumor cerebri syndrome. Neurol Clin. 2014;32:363-396.
- 2. De Simone R, Ranieri A, Montella S, et al. Revised diagnostic criteria for the pseudotumor cerebri syndrome in adults and children. Neurology. 2014;82:1011-1012.
- 3. Skau M, Brennum J, Gjerris F, et al. What is new about idiopathic intracranial hypertension? An updated review of mechanism and treatment. Cephalalgia. 2006;26:384-399.
- 4. McGeeney BE, Friedman DI. Pseudotumor cerebri pathophysiology. Headache. 2014;54:445-458.
- 5. Friedman DI, Liu GT, Digre KB. Revised diagnostic criteria for the pseudotumor cerebri syndrome in adults and children. Neurology. 2013;81:1159-1165.
- 6. Eren Y. Clinical Features of Pseudotumour Cerebri Syndrome Syndrome: A Retrospective Evaluation of 60 Patients. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2019;72:61-65.
- 7. Chen BS, Newman NJ, Biousse V. Atypical presentations of idiopathicintracranial hypertension. Taiwan J Ophthalmol. 2020;11:25-38.
- 8. Wall M. Idiopathic intracranial hypertension. Neurol Clin. 2010;28:593-617.
- 9. Marcelis J, Silberstein SD. Idiopathic intracranial hypertension withoutpapilledema. Arch Neurol. 1991;48:392-399.
- 10. Digre KB, Nakamoto BK, Warner JE, et al. A comparison of idiopathicintracranial hypertension with and without papilledema. Headache. 2009;49:185-193.