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Case Report

SETB. 2013; 47(2): 91-94


A case of idiopatic intracranial hypertension with rapidly progressive vision loss and that benefits from pulse steroid therapy

Zahide Mail Gürkan, Ülgen Yalaz Tekan, Ayşe Destina Yalçın, Lale Gündoğdu Çelebi, Gülay Kenangil, Zeynep Tanrıverdi, Hulki Forta.



Abstract
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In this report, a 28-year-old patient who had idiopathic intracranial hypertension with rapidly progressive visual loss was reported. Etiological factors were polycystic ovarian disease, short-term oral contraceptive use and iron deficiency. She was administrated oral acetozolamid and metilprednizolon IV 1g/day. In addition to drug therapy, the patient underwent repeat lumbar punctures and lumboperitoneal shunt. In idiopathic intracranial hypertension, it is very rare but loss of vision may rapidly develop. In this case, high-dose intravenous corticosteroid therapy might be a god option in terms of save time to improve vision.

Key words: Idiopathic intracranial hypertension, visual loss, intravenous corticosteroid therapy





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