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Expert Opinion - rwevansmd.com
Expert Opinion 495 The Management of Pseudotumor Cerebri During Pregnancy Case Histories Submitted by Randolph W. Evans, MD Expert Opinion by Deborah I. Friedman, MD Key words: pseudotumor cerebri, pregnancy, lumbar punctureAbbreviations: PTC pseudotumor cerebri ( Headache 2000;40:495-497) The management of pseudotumor cerebri (PTC)in pregnancy, while not a common problem, raisesseveral difficult issues. CLINICAL HISTORY This 20-year-old woman developed mild headachesand was found to have papilledema in December height was 5 9 4 0 , and her weight was 205 lb. A neu-rologist and an ophthalmologist diagnosed pseudotu-mor cerebri after an evaluation that included a magneticresonance imaging (MRI) scan of the brain with normalfindings, a lumbar puncture revealing an opening pres-sure of 31 cm of water, and a normal cerebrospinal fluid(CSF) examination, except for a decreased proteinlevel.
Expert Opinion 495 The Management of Pseudotumor Cerebri During Pregnancy Case Histories Submitted by Randolph W. Evans, MD Expert Opinion by Deborah I. Friedman, MD
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