Doctor insights on:
Are There Alternative Treatments For Pseudotumor Cerebri
No: Pseudotumor cerebri can occasionally result in visual loss and blindness in addition to severe headaches. Pseudotumor needs to be carefully followed by an eye doctor and sometimes a neurologist as well. 90% of people with pseudotumor are obese females and weight loss, sometimes modest amounts, can be a highly effective treatment. ...Read more
See doctor: Pseudotumor cerebri is an acquired condition that mimics increased pressure on the brain, but is usually benign. The most common cause is excessive vitamin a & beta carotene intake. Also, some medications can cause it- most notably tetracycline antibiotics. It won't kill you if you see your doctor and identify the cause in your case. ...Read more
Non-operative: Weight loss will often help. Many patients will respond to fluid restriction, corticosteroids and diuretics. In rare cases either optic nerve fenestration or shunting may be required but these are really last resort choices. Visual loss is possible and must be checked carefully. ...Read more
Eye exam, LP:
Opthalmologic exam showing swelling of the optic disks, visual acuity and field testing showing potential loss of peripheral vision,
If severe acuity in general. lumbar puncture done in supine position showing elevated opening pressure. Txt: Diamox, if severe visual issues optic nerve fernestration, csf shunting and weight loss ...Read more
Pseudotumor cerebri: In most cases the cause of PC is not really known. There are however some drugs that have been know to induce the disorder but in most cases the cause is not often found. ...Read more
See below: There have been studies, and women with psuedotumor cerebri have no more complications than women without. Should discuss with your ob. ...Read more
No: Shouldn t be related.Get a more detailed answer ›
Not directly: The real question involves whether the levels are markers for underlying endocrinological imbalance, or an effect of hormonal dysfunction, and if so, the underlying cause should be addressed. But the simple presence of increased globulin levels does not affect intracranial pressure issues. ...Read more
Explanation: The increased intracranial pressure does affect vision with periodic "obscurational" episodes, but sudden bilateral complete blindness does not occur. Instead the vision becomes very blurred with significant degradation which initially returns. If the pressure is not controlled, there is a steady worsening of vision that can lead to blindness. ...Read more
Unknown: The cause of pseudotumor cerebri is uknown. It has been associated with implantable contraceptive devices, such as the Norplant and Mirena iud, which contain levonorgestrel. Plan b consists of a dose of Levonorgestrel to prevent pregnancy. There are not studies showing direct causation. Discuss with the clinicians taking care of the condition before using this medication. ...Read more
See below: You can - but make sure you tell your ob/gyn first prior to taking it. So do not take until your own ob/gyn approves it. ...Read more
Life Style Change:
I tell all my pseudotumor patients that this is a wake up call. You need to change your lifestyle. Change your mentality. Reset your thermostat!
you need to cut down on how much you each, what quality food you eat, how much your spend (exercise) and how you change your mentality to avoid your addictions (fat, chocolate. ..). It's tough, but what you are currently doing ain't workin! ...Read more
What are the chances pseudotumor cerebri goes away through medication and weight loss? And what is the reoccurrence rate?
Good chance: Recurrence of pseudotumor is directly related to your weight. Weight increases in the chance that you may come back is high. ...Read more
Was diagnosed with pseudotumor cerebri. Is there another way to manage the condition so I won't have to get the spinal tap to relieve the pressure?
Pseudotumor cerebri: Typically spinal tap is used for Diagnosis and not as a mode of treatment. Medication, acetazolamide is typically used as well as other things like weight loss if appropriate... ...Read more
I have pseudotumor cerebri and my opthalmologist wants me to have a spinal tap done. Is there any other way he could diagnose it without spinal tap?
I have pseudotumor cerebri. I take 500mg Diamox (acetazolamide) daily. I also get migraines. Is this a separate problem or do the conditions aggravate eachother?
Treatment of pseudotumor cerebri can include serial spinal taps, medications, weight loss, treatment of medical conditions predisposing to pseudotumor, and ultimately if all else fails a shunt is placed to lower high pressure.
The primary risk is damage to the optic nerves if left untreated. ...Read more
No: There are drugs (acetazolamide and other diuretics) that may alleviate the symptoms of paeudorumor very well, and pseudotumor may often go into remission, but it's hard to call them cures. ...Read more
Pseudotumor cerebri: This is a condition when pressure within the skull (intracranial pressure) increases without an obvious reason why. It's calle "pseudotumor" because the symptoms can mimic those of having a tumor or something compressing the brain. Headaches and visual problems tend to be among the more common symptoms. Often diagnosis can be made or suggested by noting changes in the eye with an ophtalmoscope ...Read more