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Neuro L5 - Idiopathic Intracranial Hypertension Exam 1, session 4
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Neuro L5 - Idiopathic Intracranial Hypertension Exam 1, session 4...
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Neuro L5 - Idiopathic Intracranial Hypertension Exam 1,session 4
25yo obese female patient with PMHx of SLE complains of visual loss, headache, and
pulsatile tinnitus
_dx?
_imaging?
_dx: IIH-idiopathic intracranial hypertension
_imaging:
_CT
_MRI
_lumbar puncture
_NOTE:
_if CT/MRI is negative do LP/CSF (will see ˜ ICP)
pharmacologic management for IIH
_acetazolamide (most effective!)
_furosemide
_corticosteroids
non-pharmacologic management for IIH?
_surgical management?
_non-pharmacologic:
_repeated LP (lowers ICP)
_weight loss (cornerstone of long-term management)
_surgical interventions:
_cerebrospinal fluid diversion-shunt
, In adults, two thirds of primary brain tumors arise from structures ___________ the
tentorium.
In children, two thirds of brain tumors arise from structures ____________ the tentorium.
In adults, two thirds of primary brain tumors arise from structures ABOVE the tentorium.
In children, two thirds of brain tumors arise from structures BELOW the tentorium.
what are the most common solid tumors that disseminate to the brain?
- lung cancer (most common)
- breast cancer
melanoma cancer
colon cancer
parinaud syndrome sx?
upward gaze palsy
convergence retraction nystagmus
light near dissociation
sx of brain tumors
tension type HA associated with vomiting
focal seizures
papilledema
diplopia/parinaud syndrome
T/F: gold standard dx for brain tumors is MRI
FALSE: dx is dependent on brain imaging AND histopathology aka tissue biopsy
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