TY - JOUR
T1 - Pseudotumor cerebri following tapered corticosteroid treatment in an 8-month-old infant
T2 - Case report
AU - Ray, Wilson Z.
AU - Lee, Amy
AU - Blackburn, Spiros L.
AU - Lueder, Gregg T.
AU - Leonard, Jeffrey R.
PY - 2008/1
Y1 - 2008/1
N2 - 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.
AB - 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.
KW - Corticosteroid therapy
KW - Idiopathic intracranial hypertension
KW - Pediatric neurosurgery
KW - Pseudotumor cerebri
UR - http://www.scopus.com/inward/record.url?scp=40849124431&partnerID=8YFLogxK
U2 - 10.3171/PED-08/01/088
DO - 10.3171/PED-08/01/088
M3 - Article
C2 - 18352810
AN - SCOPUS:40849124431
SN - 1933-0707
VL - 1
SP - 88
EP - 90
JO - Journal of Neurosurgery: Pediatrics
JF - Journal of Neurosurgery: Pediatrics
IS - 1
ER -