Psödotümör Serebri; Tek Merkez Deneyimi

Abstract

Objective: This study was planned with the aim of retrospectively reviewing the clinical and laboratory findings and the therapies of patients diagnosed with pseudotumor cerebri, redefining the patients according to the diagnostic criteria revised by Friedman et al. (2013), and comparing them with the literature. Material and Methods: 40 patients diagnosed with pseudotumor cerebri at the Pediatric Neurology Clinic were reevaluated in terms of clinical findings and therapies. The diagnoses were compared according to the modified Dandy and 2013 Friedman criteria. Results: The 40 patients who had been diagnosed as “definite pseudotumor cerebri” using the modified Dandy criteria were reclassified with the 2013 diagnostic criteria and there were no changes in the diagnoses of 37 patients while three patients were shifted to the “probable pseudotumor cerebri” group. The mean age of the patients was 11.15 ± 3.32 years. Forty percent of the patients were prepubertal and 60% were in the pubertal period. Twenty-eight patients were diagnosed with primary and 12 patients with secondary pseudotumor cerebri. Headache was the most common complaint of the patients. All patients received medical treatment. A lumboperitoneal shunt was replaced in one patient who did not respond to treatment. Conclusion: The signs and symptoms of our patients were compatible with the literature. Obesity was a factor in 53.5% of the primary pseudotumor cerebri patients while the causes for secondary pseudotumor cerebri were similar to the literature and most of them responded to medical treatment. It was determined that the use of old and new diagnostic criteria would not make a difference in terms of diagnosis and treatment.