000 02834nam a22004337a 4500
008 180619s20182018 xxu||||| |||| 00| 0 eng d
022 _a1528-4042
024 _a10.1007/s11910-018-0839-1 [doi]
024 _a10.1007/s11910-018-0839-1 [pii]
040 _aOvid MEDLINE(R)
099 _a29721718
245 _aAn Up to Date Review of Pseudotumor Cerebri Syndrome. [Review]
251 _aCurrent Neurology & Neuroscience Reports. 18(6):33, 2018 May 02.
252 _aCurr Neurol Neurosci Rep. 18(6):33, 2018 May 02.
253 _aCurrent neurology and neuroscience reports
260 _c2018
260 _fFY2018
266 _d2018-06-19
520 _aPURPOSE OF REVIEW: Idiopathic intracranial hypertension (IIH), pseudotumor cerebri syndrome (PTCS), and benign intracranial hypertension are all terms that have been used for a neurologic syndrome consisting of elevated intracranial pressure (ICP), headache and vision loss without mass lesion or underlying infection or malignancy. In this review article, categorization, diagnostic criteria, symptom management strategies, and disease treatment options for pseudotumor cerebri syndrome will be discussed.
520 _aRECENT FINDINGS: The Idiopathic Intracranial Hypertension Treatment Trial has now proven that acetazolamide should be the first line therapy in primary PTCS, but other treatment options exist in patients who cannot tolerate acetazolamide or in selected cases, which requires surgical intervention for PTCS which acutely threatens vision. Headache has also been shown to require focused treatment beyond therapies that lower ICP, specifically targeting coexistent primary headache disorders and medication overuse. Advances in treatment and diagnostic modalities have improved understanding of PTCS types and their treatment. The pathophysiology of primary PTCS, however, remains incompletely understood, but continued evaluation of cerebrospinal fluid flow dynamics, aquaporins, hormones, natriuretic peptides, and the link with female gender and obesity may lead to future answers.
546 _aEnglish
650 _a*Pseudotumor Cerebri/di [Diagnosis]
650 _a*Pseudotumor Cerebri/th [Therapy]
650 _aAnimals
650 _aHumans
650 _aIntracranial Hypertension/di [Diagnosis]
650 _aIntracranial Hypertension/pp [Physiopathology]
650 _aIntracranial Hypertension/th [Therapy]
650 _aPseudotumor Cerebri/pp [Physiopathology]
650 _aSyndrome
651 _aMedStar Washington Hospital Center
656 _aNeurology
657 _aJournal Article
657 _aReview
700 _aBurkett, John Glenn
790 _aAilani J, Burkett JG
856 _uhttps://dx.doi.org/10.1007/s11910-018-0839-1
_zhttps://dx.doi.org/10.1007/s11910-018-0839-1
942 _cART
_dArticle
999 _c3428
_d3428