Fwd: Diagnostic criteria for pseudotumore cerebri
From: Djacobs272@aol.comTo: dhj1.neurology@blogger.comSent: 5/13/2014 2:29:29 P.M. Eastern Daylight TimeSubj: Diagnostic criteria for pseudotumore cerebri Neurology 2013; 81:1161 A. Required 1. Papilledema 2. normal neuro exam except cranial neuropathy eg abducens palsy 3. Neuroimaging-- normal MRI with and without contrast 4. Normal CSF composition 5. Elevated CSF opening pressure: , > 250 in adults > 280 in clhildren Diagnosis of pseudotumor cerebri syndrome without papilledema 1. If 2-5 above are satisfied and in addition unilateral or bilateral VI n palsy 2. Absent papilledema/ VI n palsy, diagnosis is suggested but not made with 3/4 imaging criteria met: empty sella, flattened posterior globe, distended perioptic subarachnoid space with or without tortuous optic nerve, and transverse sinus stenosis. Under research: findings of narrowed Meckel's cave and cavernous sinuses on MRI and widened foramen ovale on CT Uncommon manifestations: facial paresis, hemifacial...
Source: neurologyminutiae - Category: Neurologists Source Type: blogs