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Pseudotumor Cerebri Syndrome with Isolated Complete Oculomotor Nerve Paralysis Without Papilledema

Year 2023, Volume: 76 Issue: 4, 369 - 372, 05.04.2024

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.
  • 11. McCammon A, Kaufman HH, Sears ES. Transient oculomotor paralysis inpseudotumor cerebri. Neurology. 1981;31:182-184.
  • 12. Chansoria M, Agrawal A, Ganghoriya P, et al. Pseudotumor cerebri withtransient oculomotor palsy. Indian J Pediatr. 2005;72:1047-1048.
  • 13. Bruce BB, Newman NJ, Biousse V. Ophthalmoparesis in idiopathicintracranial hypertension. Am J Ophthalmol. 2006;142:878-880.
  • 14. Thapa R, Mukherjee S. Transient bilateral oculomotor palsy in pseudotumorcerebri. J Child Neurol. 2008;23:580-581.
  • 15. Tan H. Bilateral oculomotor palsy secondary to pseudotumor cerebri. Pediatr Neurol. 2010;42:141-142.
  • 16. Mollan SP, Markey KA, Benzimra JD, et al. A practical approach to, diagnosis,assessment and management of idiopathic intracranial hypertension. PractNeurol. 2014;14:380-390.

Year 2023, Volume: 76 Issue: 4, 369 - 372, 05.04.2024

Abstract

Ethical Statement

Hasta Onayı: Hastadan yayın için bilgilendirilmiş onam formu alınmıştır. Hakem Değerlendirmesi: Editörler kurulu içinden ve dışından olan kişiler tarafından değerlendirildi.

Project Number

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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.
  • 11. McCammon A, Kaufman HH, Sears ES. Transient oculomotor paralysis inpseudotumor cerebri. Neurology. 1981;31:182-184.
  • 12. Chansoria M, Agrawal A, Ganghoriya P, et al. Pseudotumor cerebri withtransient oculomotor palsy. Indian J Pediatr. 2005;72:1047-1048.
  • 13. Bruce BB, Newman NJ, Biousse V. Ophthalmoparesis in idiopathicintracranial hypertension. Am J Ophthalmol. 2006;142:878-880.
  • 14. Thapa R, Mukherjee S. Transient bilateral oculomotor palsy in pseudotumorcerebri. J Child Neurol. 2008;23:580-581.
  • 15. Tan H. Bilateral oculomotor palsy secondary to pseudotumor cerebri. Pediatr Neurol. 2010;42:141-142.
  • 16. Mollan SP, Markey KA, Benzimra JD, et al. A practical approach to, diagnosis,assessment and management of idiopathic intracranial hypertension. PractNeurol. 2014;14:380-390.
There are 16 citations in total.

Details

Primary Language English
Subjects Neurology and Neuromuscular Diseases
Journal Section Articles
Authors

Esra Eruyar 0000-0002-1666-0084

Project Number -
Publication Date April 5, 2024
Published in Issue Year 2023 Volume: 76 Issue: 4

Cite

APA Eruyar, E. (2024). Pseudotumor Cerebri Syndrome with Isolated Complete Oculomotor Nerve Paralysis Without Papilledema. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 76(4), 369-372. https://doi.org/10.4274/atfm.galenos.2023.48343
AMA Eruyar E. Pseudotumor Cerebri Syndrome with Isolated Complete Oculomotor Nerve Paralysis Without Papilledema. Ankara Üniversitesi Tıp Fakültesi Mecmuası. April 2024;76(4):369-372. doi:10.4274/atfm.galenos.2023.48343
Chicago Eruyar, Esra. “Pseudotumor Cerebri Syndrome With Isolated Complete Oculomotor Nerve Paralysis Without Papilledema”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 76, no. 4 (April 2024): 369-72. https://doi.org/10.4274/atfm.galenos.2023.48343.
EndNote Eruyar E (April 1, 2024) Pseudotumor Cerebri Syndrome with Isolated Complete Oculomotor Nerve Paralysis Without Papilledema. Ankara Üniversitesi Tıp Fakültesi Mecmuası 76 4 369–372.
IEEE E. Eruyar, “Pseudotumor Cerebri Syndrome with Isolated Complete Oculomotor Nerve Paralysis Without Papilledema”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 76, no. 4, pp. 369–372, 2024, doi: 10.4274/atfm.galenos.2023.48343.
ISNAD Eruyar, Esra. “Pseudotumor Cerebri Syndrome With Isolated Complete Oculomotor Nerve Paralysis Without Papilledema”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 76/4 (April2024), 369-372. https://doi.org/10.4274/atfm.galenos.2023.48343.
JAMA Eruyar E. Pseudotumor Cerebri Syndrome with Isolated Complete Oculomotor Nerve Paralysis Without Papilledema. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2024;76:369–372.
MLA Eruyar, Esra. “Pseudotumor Cerebri Syndrome With Isolated Complete Oculomotor Nerve Paralysis Without Papilledema”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 76, no. 4, 2024, pp. 369-72, doi:10.4274/atfm.galenos.2023.48343.
Vancouver Eruyar E. Pseudotumor Cerebri Syndrome with Isolated Complete Oculomotor Nerve Paralysis Without Papilledema. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2024;76(4):369-72.