Edit concept Create issue ticket

Cerebral Spinal Fluid Pressure Increased


Presentation

  • Barlas O, Gökay H, Turantan MI, Baserer N (1983) Adult aqueductal stenosis presenting with fluctuating hearing loss and vertigo. J Neurosurg 59:703–705 Google Scholar 4.[link.springer.com]
  • If there are no microorganisms present, it does not rule out an infection; they may be present in small numbers or unable to grow in culture due to prior antibiotic therapy.[labtestsonline.org]
  • The classic presentation of CSF leaks is the expression of clear, watery drainage from the nose or fluid behind the eardrum. Rarely, certain patients may present with severe headaches when sitting up.[inside.mountsinai.org]
  • Serious neurologic presentations Emergency Medicine physicians may see patients presenting clinically with quadriplegia, stupor, coma or other serious neurologic presentations. Death is a reported complication, albeit rare.[spinalcsfleak.org]
  • It is an uncommon condition in childhood presenting about once or twice a year in a large referral hospital.[adc.bmj.com]
Italian
  • All proceeds will go directly to IF. " LIESJE " is also available in Dutch, French ("Let Mots"), Norwegian, Italian ("Liesje, mia figlia") and Slovak.[ifglobal.sitehosting.be]
  • Last updated 10/4/2010. 16.0 16.1 Standardization of procedures and methods in neuroimmunology from the Italian Association of Neuroimmunology.[psychology.wikia.com]
Nausea
  • People have daily or near daily headaches, sometimes with nausea, blurred or double vision, and noises within the head. Imaging of the head is done to rule out possible causes of increased pressure, and a spinal tap is done.[msdmanuals.com]
  • Nausea and Vomiting Nausea and vomiting can be the main symptom of a CSF leak. Dr. Carroll described a patient with complex regional pain syndrome who underwent a spinal cord stimulation trial.[mdedge.com]
  • When you have a headache or unexplained nausea and vomiting, your doctor will look into your eye with an ophthalmoscope. This handheld instrument shines a bright light into your eye.[drugs.com]
  • Spontaneous intracranial hypotension is a relatively benign and usually self-limiting syndrome of orthostatic headache in association with one or more of numerous symptoms including nausea, vomiting, horizontal diplopia, unsteadiness or vertigo, altered[ncbi.nlm.nih.gov]
  • Lethargy Recurrent vomiting Symptoms commonly found in older children, teens, and adults: Decrease in appetite Deteriorating mental capabilities Difficulty in walking Double vision Headache Incontinence Increased intracranial pressure Irritability Lethargy Nausea[fda.gov]
Vomiting
  • […] older children, teens, and adults: Decrease in appetite Deteriorating mental capabilities Difficulty in walking Double vision Headache Incontinence Increased intracranial pressure Irritability Lethargy Nausea Personality changes Restlessness Seizures Vomiting[fda.gov]
  • Older children and adults: Behavior changes Decreased alertness Headache Lethargy Nervous system symptoms, including weakness, numbness, eye movement problems, and double vision Seizures Vomiting A health care provider will usually make the diagnosis[medlineplus.gov]
  • These are the most common symptoms of an ICP: Headache Blurred vision Feeling less alert than usual Vomiting Changes in your behavior Weakness or problems with moving or talking Lack of energy or sleepiness The symptoms of ICP may look like other conditions[hopkinsmedicine.org]
  • Nausea and Vomiting Nausea and vomiting can be the main symptom of a CSF leak. Dr. Carroll described a patient with complex regional pain syndrome who underwent a spinal cord stimulation trial.[mdedge.com]
  • Other symptoms may include vomiting , sleepiness, irritability, downward deviation of the eyes (also called "sunsetting"), and seizures .[medicinenet.com]
Hypertension
  • Larsen HC (1982) The effect of intracranial hypertension on cochlear blood flow. Acta Otolaryngol (Stockh) 93:415–419 Google Scholar 12. Larsen HC (1987) Effect of prazosin and intracranial hypertension on cochlear blood flow.[link.springer.com]
  • Idiopathic intracranial hypertension. Brain. 1991;114:155-80. Wall M. The headache profile of idiopathic intracranial hypertension. Cephalalgia. 1990;10:331-35. Corbett JJ, Thomson HS. The rational management of idiopathic intracranial hypertension.[rarediseases.org]
  • (Benign Intracranial Hypertension; Intracranial Venous Hypertension; Pseudotumor Cerebri) By Stephen D.[msdmanuals.com]
  • METHODS: The prospective interventional study included 17 patients with ocular hypertension and 71 subjects of a nonglaucomatous control group.[ncbi.nlm.nih.gov]
Slow Pulse
  • The following signs of increased ICP are called Cushing triad. high blood pressure with an increasing difference between the top (systolic) and bottom (diastolic) blood pressure readings slow pulse rate abnormal respirations Diagnosis Your doctor will[cancer.ca]
Myopathy
  • The EMG picture of brief, small-amplitude, abundant, polyphasic potentials (BSAPP) is characteristic (although not pathognomonic) of myopathy.[dartmouth.edu]
Ulcer
  • Turbulent and accelerated flow in a narrowed carotid artery can be detected using Doppler imaging techniques; B-mode ultrasonography can visualize carotid stenosis and may be able to detect ulcerations in the wall of the carotid artery; M-mode can detect[dartmouth.edu]
Fluctuating Hearing Loss
  • Barlas O, Gökay H, Turantan MI, Baserer N (1983) Adult aqueductal stenosis presenting with fluctuating hearing loss and vertigo. J Neurosurg 59:703–705 Google Scholar 4.[link.springer.com]
Kidney Failure
  • Diagnosis of Secondary IH is the same as IIH, but Secondary IH can be traced back to causes such as other conditions or medications: dural venous sinus thrombosis kidney failure Leukemia Lupus excess Vitamin A growth hormone treatments nasal fluticasone[healthcentral.com]
Polyneuropathy
  • Besides being used for epilepsy , testing the CSF can help in the diagnosis of disorders of the chronic inflammatory demyelinating polyneuropathy, central nervous system that may involve the brain , spinal cord, or their coverings (the meninges).[webmd.com]
  • Additional conditions under which the test may be performed: Chronic inflammatory polyneuropathy Dementia due to metabolic causes Encephalitis Epilepsy Febrile seizure (children) Generalized tonic-clonic seizure Hydrocephalus Inhalation anthrax Normal[stlukes-stl.com]
  • Or the cause may be a disorder that affects nerves throughout the body (a polyneuropathy), as when diabetes damages nerves throughout the body, starting with those in the feet.[my-ms.org]
Morning Headache
  • The headache is classically a morning headache which may wake them from sleep.[en.wikipedia.org]
Exertional Headache
  • Migraine With Aura - the Basics Migraine Without Aura - the Basics New Daily Persistent Headache - The Basics Orgasmic and Preorgasmic Headache - The Basics Paroxysmal Hemicrania - The Basics Post-Traumatic Headache - The Basics Primary Exertional Headache[healthcentral.com]

Treatment

  • Treatment is aimed at preventing permanent visual loss and includes treatment with medicines. Brain surgery (neurosurgery) may also be used. For many people, a combination of medical and surgical treatment can help to control their symptoms well.[patient.info]
  • Elevated intracranial pressure (ICP) monitoring during the hydrocephalus treatment.[minclinic.ru]
  • For many patients, symptoms go away without any specific treatment. Initial treatment may include bed rest, good hydration and increased caffeine intake to reduce symptoms.[cedars-sinai.edu]
  • Future prospective studies on treatment will provide a scientific basis for a rational treatment plan for this condition.[adc.bmj.com]
  • What is the treatment for a CSF leak? Treatment can be either medical or surgical. Conservative treatment is usually recommended first in cases of spontaneous CSF leak or head trauma. This includes 1-2 weeks of bed rest.[my.clevelandclinic.org]

Prognosis

  • From What is the prognosis for hydrocephalus? The prognosis for individuals diagnosed with hydrocephalus is difficult to predict, although there is some correlation between the specific cause of the hydrocephalus and the outcome.[medicinenet.com]
  • Prognosis: Close, repeated ophthalmologic exams are required to monitor any changes in vision. Surgery may be needed to remove pressure on the optic nerve. The disorder may cause progressive, permanent visual loss in some patients.[healthcentral.com]
  • Recovery The prognosis for hydrocephalus depends on the individual and is affected by factors such as age, general health, the specific cause of the hydrocephalus, how far the condition has progressed and the extent of the damage to the brain caused by[brainandspine.org.uk]
  • Prognosis You may have chronic mild papilledema for months or years and still not lose significant vision. However, once you begin to lose vision, it can become permanent within days or weeks, and requires urgent treatment.[drugs.com]
  • What is the outlook (prognosis)? It is essential to detect idiopathic intracranial hypertension (IIH) early and to start treatment early to prevent permanent loss of vision occurring.[patient.info]

Etiology

  • It is an optic neuropathy of unknown etiology that results in a characteristic pattern of visual field loss and changes to the optic nerve.[glaucomatoday.com]
  • In many cases, no specific etiology is identified ( idiopathic intracranial hypertension ). Further Reading Ballabh P, Braun A, Nedergaard M. The blood-brain barrier: an overview. Structure, regulation, and clinical implications.[neuropathology-web.org]
  • “Displacement of C-1 is pain free and thus, remains undiagnosed and untreated, whereas health-related consequences are attributed to other etiologies.”[chiro-trust.org]
  • Low CSF pressure of uncertain etiology (spontaneous intracranial hypotension) Cysts of CSF pathways (e.g.[dizziness-and-balance.com]
  • It is included in the evaluation of many neurologic conditions (such as stroke and seizures) because abnormalities may point to various possible etiologies.[dartmouth.edu]

Epidemiology

  • Traumatic Brain Injury (TBI) - Definition, Epidemiology, Pathophysiology at eMedicine Initial Evaluation and Management of CNS Injury at eMedicine Graham, D. I.; Gennarelli, T. A. (2000). "Pathology of Brain Damage After Head Injury".[en.wikipedia.org]
Sex distribution
Age distribution

Pathophysiology

  • This may have significant treatment implications but the underlying pathophysiology needs to be further explored. CSF connections with the lymphatic system have been demonstrated in several mammalian systems.[wikidoc.org]
  • Traumatic Brain Injury (TBI) - Definition, Epidemiology, Pathophysiology at eMedicine Initial Evaluation and Management of CNS Injury at eMedicine Graham, D. I.; Gennarelli, T. A. (2000). "Pathology of Brain Damage After Head Injury".[en.wikipedia.org]
  • Theories of BIH pathophysiology have been based on neuroradiological studies on patients with BIH (computed tomograms, magnetic resonance imaging (MRI), magnetic resonance diffusion scans, and radioisotope cisternography) and CSF hydrodynamic studies.[adc.bmj.com]
  • In addition to a thorough understanding of the pathophysiologic changes brought on by increased intracranial pressure and the signs and symptoms they produce, the nurse and other health professionals should be aware of factors that can precipitate increases[medical-dictionary.thefreedictionary.com]
  • The pathophysiology of cryptococcal meningitis may be more varied than that of other forms of granulomatous meningitis.[academic.oup.com]

Prevention

  • This prevents the brain tissue from becoming deformed under its own weight. It acts as a diffusion medium for the transport of neurotransmitters and neuroendocrine substances.[en.wikivet.net]
  • Prevention Many of the causes of papilledema cannot be prevented.[drugs.com]
  • Maintenance of a patent airway and adequate oxygenation by means of oxygen therapy, if necessary, are essential to the prevention of an escalating intracranial pressure.[medical-dictionary.thefreedictionary.com]
  • Function The cerebrospinal fluid has many putative roles including mechanical protection of the brain, distribution of neuroendocrine factors and prevention of brain ischemia .[wikidoc.org]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!