Pseudotumor Cerebri in Pregnancy. Case Reports and Review of Literature

Pseudotumor Cerebri following Eclampsia

“…The prolactin rise during pregnancy begins at 8 weeks of gestation. This corresponds approximately to the temporal distribution of pseudotumor occurrence in 43 women reviewed by Peterson and Kelly [4], where most cases developed in the 10th-28th weeks of gestation. One patient had symptoms beginning 2 weeks after deliv ery [15]; detailed information about the temporal course of events is often lacking in other published reports.…”

“…Prolactin is an osmoregulator, and receptors for it are present in rat choroid plexus [4]. Cerebrospinal fluid levels of prolactin were elevated in 6 nonpregnant women with pseudotumor [6], and prolac tin may be elevated in other pseudotumor patients.…”

“…Predominantly found in women after menarche, this condition can be recurrent with menses or with pregnancy [2-4], or associated with menstrual irreg ularity. Fluctuations in estrogen, progesterone and pro lactin levels have been linked to its occurrence [4][5][6]. We now report a 15-year-old girl who developed pseudotu mor 2 weeks after eclampsia.…”

“…The pathogenesis is still debated [1], but endocrinologic factors have long been assumed to be important. Predominantly found in women after menarche, this condition can be recurrent with menses or with pregnancy [2][3][4], or associated with menstrual irreg ularity. Fluctuations in estrogen, progesterone and pro lactin levels have been linked to its occurrence [4][5][6].…”

Idiopathic Intracranial Hypertension in Pregnancy Treated with Serial Lumbar Punctures

“…Since our patient was primarily treated with repeated lumbar punctures, spinal anesthesia was considered to be the best option [14,17]. The block height achieved in this case was adequate for a cesarean section.…”