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