Pseudotumor Cerebri of Childhood

doi:10.1001/archpedi.1977.02120240061012

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Vol. 131 No. 11, November 1977

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Pseudotumor Cerebri of Childhood

Leon A. Weisberg, MD; A. M. Chutorian, MD

Am J Dis Child. 1977;131(11):1243-1248.

Abstract

• In a study of 38 children with pseudotumor cerebri, theevaluation of the response to treatment received special emphasis.Sixteen children underwent spontaneous remission following diagnosis,or improved following sequential lumbar punctures. Sixteen otherchildren were treated with corticosteroids. Of this group, fourchildren who failed to respond to repeated lumbar puncturesprior to the initiation of corticosteroid therapy, had theirsubsequent course on varying doses of steroids charted clinicallyand by frequent measurement of the CSF pressure. An inverserelationship of steroid dosage to CSF pressure was documented,as was the children's dependence on corticosteroid therapy forcontinued remission as the pseudotumor cerebri ran its course.In twelve other children, treatment with corticosteroids mayhave been effective. Two children had neurosurgical procedures.Permanent visual deficit did not occur in any child.

(Am J Dis Child 131:1243-1248, 1977)

Author Affiliations

From the Departments of Neurology and Child Neurology of the Neurological Institute, Columbia-Presbyterian Medical Center, New York. Dr Weisberg is now with Tulane Medical School, New Orleans.

Footnotes

Reprint requests to Department of Psychiatry and Neurology,Tulane University School of Medicine, 1430 Tulane Ave, New Orleans,LA 70112 (Dr Weisberg).

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