tailieunhanh - Báo cáo y học: " Pseudotumor cerebri and ciprofloxacin: a case repor"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Pseudotumor cerebri and ciprofloxacin: a case report. | Fernando et al. Journal of Medical Case Reports 2011 5 104 http content 5 1 104 JOURNALOF medical case reports CASE REPORT Open Access Pseudotumor cerebri and ciprofloxacin a case report Rajeev R Fernando Niraj N Mehta Morgan G Fairweather Abstract Introduction We present a case of ciprofloxacin-associated pseudotumor cerebri in a 22-year-old African American woman. Withdrawal of ciprofloxacin in our patient resulted in complete resolution of ciprofloxacin-associated pseudotumor as evidenced by a normal neuro-ophthalmic examination and a cerebrospinal fluid opening pressure of 140 mmH20. Case presentation A 22-year-old African American woman presented with a headache of two weeks duration visual blurring and horizontal diplopia after starting ciprofloxacin for pyelonephritis. An ophthalmic examination revealed that she had left eye esotropia and a picture of the fundus demonstrated bilateral disc swelling without spontaneous venous pulsations. Magnetic resonance imaging of the brain and a magnetic resonance venogram were normal. A diagnostic lumbar puncture demonstrated an elevated opening pressure of 380mmH2O in a supine position. Laboratory examinations including a cerebrospinal fluid exam were unremarkable. Conclusion ciprofloxacin-associated pseudotumor can cause chronic disabling headache and visual complications. Therapy is sub-optimal often symptomatic insufficient and complicated by side effects. When ciprofloxacin-associated pseudotumor presents in an atypical population an inciting agent must be suspected because prompt withdrawal of the agent may lead to complete resolution of symptoms and prevent recurrence of similar episodes. Introduction Pseudotumor cerebri PTC is a condition of increased intracranial pressure ICP without clinical laboratory or radiological evidence of intracranial pathology. PTC is traditionally a disease of middle-aged obese women and presents with symptoms of raised ICP such as headache pulsatile .

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