Pseudotumor cerebri following tapered corticosteroid treatment in an 8-month-old infant: Case report

Wilson Z. Ray, Amy Lee, Spiros L. Blackburn, Gregg T. Lueder, Jeffrey R. Leonard

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

The authors report on an 8-month-old infant with an orbital capillary hemangioma. The patient had been treated with high-dose corticosteroid therapy and had had a recent decrease in dose. The patient presented to the emergency department with increased irritability and bulging fontanelles. On lumbar puncture the opening pressure was > 55 cm H2O. Ophthalmological examination revealed interval development of papilledema. The child was treated with high-volume lumbar puncture, subsequent drainage of 10 ml of cerebrospinal fluid, resumption of the previous steroid dose, and acetazolomide therapy. The patient's symptoms resolved and follow-up ophthalmological examination revealed interval resolution of papilledema. The authors present the youngest reported case of pseudotumor development after corticosteroid tapering.

Original languageEnglish
Pages (from-to)88-90
Number of pages3
JournalJournal of Neurosurgery: Pediatrics
Volume1
Issue number1
DOIs
StatePublished - Jan 1 2008

Keywords

  • Corticosteroid therapy
  • Idiopathic intracranial hypertension
  • Pediatric neurosurgery
  • Pseudotumor cerebri

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