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Journal of Clinical and Applied Neurosciences                            Volume 1; Issue 1                                   Jan-Jun 2015
CASE REPORT
Pseudotumour cerebri - a case report from Enugu, Nigeria
Fintan EKOCHIN,
Ikenna ONWUEKWE,
Oluchi EKENZE




AFFILIATION
Neurology Unit
Department of Medicine
University of Nigeria
Teaching Hospital
Ituku-Ozalla, Enugu
NIGERIA

CORRESPONDING AUTHOR
Fintan EKOCHIN
Neurology Unit
Department of Medicine
University of Nigeria
Teaching Hospital
Ituku-Ozalla PMB 01129 Enugu, NIGERIA                                   
Email:fourcornersmedicals@gmail.co m 
 
Phone: +234 803 711 4004

DISCLOSURES: NONE
ABSTRACT
Pseudotumour cerebri is an often misdiagnosed cause of headache that may lead to loss of vision. It is a mimic of an intracranial space occupying lesion with the very same signs and symptoms except for the absence of any structural abnormality. A more appropriate designation, thus, would be idiopathic intracranial hypertension. Obese females of reproductive age are especially at risk. The case reported here posed challenges as a timely neurosurgical shunt placement was not offered due to unavailability of the implantable shunt device. Serial cerebrospinal fluid letting, which is a rather obsolete treatment modality, was then resorted to until the more appropriate lumbo-peritoneal shunt was available. Further, due to the patient's late presentation, she had a persisting visual defect affecting her job. We report this case more for the purpose of illustrating the management challenges in a resource poor setting.


Keywords: Challenges, hypertension, idiopathic, intracranial

Received: 15th February, 2015                                             Accepted: 27th February, 2015