Worsening Vision In Pseudotumor Cerebri

Consult Page

37F h/o pseudotumor with worsening vision, consult for shunt placement

Initial Imaging

Walking Thoughts

• ■

  What is the patient’s neurological exam?

• ■

  What is the patient’s vision now and how quickly did it deteriorate?

• ■

  Was the patient evaluated by ophthalmology for papilledema?

• ■

  What other symptoms is she having?

• ■

  What is the patient’s pseudotumor cerebri (PTC) history? How and when was she diagnosed?

• ■

  What treatments has she tried for her PTC (e.g. acetazolamide, serial lumbar punctures)?

• ■

  Does the patient have venous sinus stenosis?

• ■

  What are the patient’s medical comorbidities?

• ■

  If she needs a shunt, does the patient have any contraindications for ventriculoperitoneal, lumboperitoneal, or ventriculoatrial shunting (e.g. multiple abdominal surgeries, Chiari malformation, bacteremia, abnormal venous anatomy, prior jugular or subclavian thrombosis, cardiac irritability)?