Pseudotumor cerebri induced by topical application of steroid: a case report
A 19-year-old man visited the neurology clinic for evaluation of a headache and pulsating tinnitus that he had experienced for 2 months. A neurological examination was normal, except for bilateral disc swelling. His medical history was notable for recently diagnosed psoriasis for which he had been a...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2019-07-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/0300060519857852 |
| _version_ | 1819003205771591680 |
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| author | Yousef Mohammad Bandar N. Aljafen Mohammed S. Alnafisah Fawaz A. Al-Hussain |
| author_facet | Yousef Mohammad Bandar N. Aljafen Mohammed S. Alnafisah Fawaz A. Al-Hussain |
| author_sort | Yousef Mohammad |
| collection | DOAJ |
| description | A 19-year-old man visited the neurology clinic for evaluation of a headache and pulsating tinnitus that he had experienced for 2 months. A neurological examination was normal, except for bilateral disc swelling. His medical history was notable for recently diagnosed psoriasis for which he had been applying topical hydrocortisone 2.5% three to four times a day. Neuro-imaging with a computed tomography scan and magnetic resonance imaging/magnetic resonance venography of the brain was normal, except for tortuosity of the optic nerves and dilatation of the optic nerve sheaths. Pseudotumor cerebri syndrome was suspected. Unfortunately, the patient refused a spinal tap to measure the cerebrospinal fluid opening pressure. Excessive application of topical steroid was believed to be the cause of the patient’s pseudotumor cerebri syndrome . The patient’s headache and disc swelling improved after treatment with acetazolamide and cessation of topical hydrocortisone. This is the first case report of a topical steroid associated with pseudotumor cerebri syndrome. |
| first_indexed | 2024-12-20T23:17:18Z |
| format | Article |
| id | doaj.art-ffbb6f98b74e4be082c02fb6fa345abf |
| institution | Directory Open Access Journal |
| issn | 0300-0605 1473-2300 |
| language | English |
| last_indexed | 2024-12-20T23:17:18Z |
| publishDate | 2019-07-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-ffbb6f98b74e4be082c02fb6fa345abf2022-12-21T19:23:37ZengSAGE PublishingJournal of International Medical Research0300-06051473-23002019-07-014710.1177/0300060519857852Pseudotumor cerebri induced by topical application of steroid: a case reportYousef MohammadBandar N. AljafenMohammed S. AlnafisahFawaz A. Al-HussainA 19-year-old man visited the neurology clinic for evaluation of a headache and pulsating tinnitus that he had experienced for 2 months. A neurological examination was normal, except for bilateral disc swelling. His medical history was notable for recently diagnosed psoriasis for which he had been applying topical hydrocortisone 2.5% three to four times a day. Neuro-imaging with a computed tomography scan and magnetic resonance imaging/magnetic resonance venography of the brain was normal, except for tortuosity of the optic nerves and dilatation of the optic nerve sheaths. Pseudotumor cerebri syndrome was suspected. Unfortunately, the patient refused a spinal tap to measure the cerebrospinal fluid opening pressure. Excessive application of topical steroid was believed to be the cause of the patient’s pseudotumor cerebri syndrome . The patient’s headache and disc swelling improved after treatment with acetazolamide and cessation of topical hydrocortisone. This is the first case report of a topical steroid associated with pseudotumor cerebri syndrome.https://doi.org/10.1177/0300060519857852 |
| spellingShingle | Yousef Mohammad Bandar N. Aljafen Mohammed S. Alnafisah Fawaz A. Al-Hussain Pseudotumor cerebri induced by topical application of steroid: a case report Journal of International Medical Research |
| title | Pseudotumor cerebri induced by topical application of steroid: a case report |
| title_full | Pseudotumor cerebri induced by topical application of steroid: a case report |
| title_fullStr | Pseudotumor cerebri induced by topical application of steroid: a case report |
| title_full_unstemmed | Pseudotumor cerebri induced by topical application of steroid: a case report |
| title_short | Pseudotumor cerebri induced by topical application of steroid: a case report |
| title_sort | pseudotumor cerebri induced by topical application of steroid a case report |
| url | https://doi.org/10.1177/0300060519857852 |
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