Benign Intracranial Hypertension: A Diagnostic Dilemma

Benign intracranial hypertension (BIH) (also known as pseudotumor cerebri and empty sella syndrome) remains a diagnostic challenge to most physicians. The modified Dandy criteria consist of, the classic findings of headache, pulsatile tinnitus, papilledema, and elevated cerebrospinal fluid (CSF) pre...

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Main Authors: Gary Y. Shaw, Stephanie K. Million
Format: Article
Language:English
Published: Hindawi Limited 2012-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2012/814696
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author Gary Y. Shaw
Stephanie K. Million
author_facet Gary Y. Shaw
Stephanie K. Million
author_sort Gary Y. Shaw
collection DOAJ
description Benign intracranial hypertension (BIH) (also known as pseudotumor cerebri and empty sella syndrome) remains a diagnostic challenge to most physicians. The modified Dandy criteria consist of, the classic findings of headache, pulsatile tinnitus, papilledema, and elevated cerebrospinal fluid (CSF) pressure, however, these are rarely collectively present in any one patient. Furthermore, these findings can wax and wane over time. Due to the nature of this disease, both signs and symptoms may be intermittent, making definitive diagnosis difficult. Newer imaging studies, particularly the magnetic resonance venogram (MRV) along with a constellation of correlative findings and associated diseases have given new impetus in the diagnosis, treatment, and pathophysiology of this disease. This has led the authors to offer modifications to the classic Dandy criteria. This report presents three representative cases of BIH highlighting many of the newer advances in both diagnosis and treatment of this perplexing disorder.
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spelling doaj.art-84a99950469a48b0940802ecd26b54832022-12-22T03:57:20ZengHindawi LimitedCase Reports in Otolaryngology2090-67652090-67732012-01-01201210.1155/2012/814696814696Benign Intracranial Hypertension: A Diagnostic DilemmaGary Y. Shaw0Stephanie K. Million1Kansas City University of Medicine and Biomedical Sciences, Kansas City, MO 64086, USAKansas City University of Medicine and Biomedical Sciences, Kansas City, MO 64086, USABenign intracranial hypertension (BIH) (also known as pseudotumor cerebri and empty sella syndrome) remains a diagnostic challenge to most physicians. The modified Dandy criteria consist of, the classic findings of headache, pulsatile tinnitus, papilledema, and elevated cerebrospinal fluid (CSF) pressure, however, these are rarely collectively present in any one patient. Furthermore, these findings can wax and wane over time. Due to the nature of this disease, both signs and symptoms may be intermittent, making definitive diagnosis difficult. Newer imaging studies, particularly the magnetic resonance venogram (MRV) along with a constellation of correlative findings and associated diseases have given new impetus in the diagnosis, treatment, and pathophysiology of this disease. This has led the authors to offer modifications to the classic Dandy criteria. This report presents three representative cases of BIH highlighting many of the newer advances in both diagnosis and treatment of this perplexing disorder.http://dx.doi.org/10.1155/2012/814696
spellingShingle Gary Y. Shaw
Stephanie K. Million
Benign Intracranial Hypertension: A Diagnostic Dilemma
Case Reports in Otolaryngology
title Benign Intracranial Hypertension: A Diagnostic Dilemma
title_full Benign Intracranial Hypertension: A Diagnostic Dilemma
title_fullStr Benign Intracranial Hypertension: A Diagnostic Dilemma
title_full_unstemmed Benign Intracranial Hypertension: A Diagnostic Dilemma
title_short Benign Intracranial Hypertension: A Diagnostic Dilemma
title_sort benign intracranial hypertension a diagnostic dilemma
url http://dx.doi.org/10.1155/2012/814696
work_keys_str_mv AT garyyshaw benignintracranialhypertensionadiagnosticdilemma
AT stephaniekmillion benignintracranialhypertensionadiagnosticdilemma