Pseudotumor cerebri history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
History and Symptoms
History
the important points in the history of a patient suspected for pseudotumor cerebri are:
Common Symptoms
Common symptoms(4) of [disease] include:
Headache (84 to 92 percent):
Headache is the most common presenting symptom of pseudotumore cerebri(2) and can be very variable in character. The headache can be lateralized, throbbing or pulsatile, intermittent or persistent and with or without nausea and vomiting. The headache can mimic migraine or tension headaches and can be exacerbate with change in posture. The headaches can follow a nerve root distribution (trigeminal or cervical nerve roots).(5)
visual symptoms(68 to 72 percent):
Transient visual obscuration can be rarely present in one group and frequently in another one. This symptom is unilateral or bilateral and can be provoked by change in position like standing up or bending over and also with valsalva maneuver, bright light and eye movement.(2-4)
Intracranial noises (pulsatile tinnitus) (52 to 60 percent):
Pulse synchronous tinnitus is very suggestive of IIH especially when it happens during headache periods. The reason of this voice is believed to be the vascular pulsation transmitted by high pressure CSF to the venous sinuses. (4-21)
Photopsia (48 to 54 percent):
Photopsias which defines as seeing flashes of light or sparkles may also be present in the course of IIH disease and can be exacerbate with change in position(4)
Back pain (53 percent):
These patients commonly report neck and back pain and stiffness.(2 va 6)
Retrobulbar pain (44 percent):
The most specific headache feature in IIH patients is retrobulbar pain with eye movement or glob compression(5)
Diplopia (18 to 38 percent):
Intermittent or continuous horizontal diplopia can occur in IIH patients in the result of abducens palsy.(22)