Turkish Neurosurgery 2012 , Vol 22 , Num 4
Sutural Diastasis Caused by Pseudotumor Cerebri
Akdeniz University, Faculty of Medicine, Department of Neurosurgery, Antalya, Turkey DOI : 10.5137/1019-5149.JTN.3527-10.2 The diagnosis of pseudotumor cerebri is based on the triad of: (1) papilloedema, (2) elevated intracranial pressure with a normal cerebrospinal constituency and (3) normal central nervous system imaging studies. However, the diagnosis of pseudotumor cerebri is not always straightforward. We report a 19-year-old morbidly obese girl who developed pseudotumor cerebri associated with sutural diastasis of the cranium based on the direct radiographies. Following a ventriculo-peritoneal shunt operation, we demonstrated the closing and perisuturally sclerosis on all major cranial sutures. A careful examination of direct radiographies might be critical for diagnosis of pseudotumor cerebri. Prompt recognition, evaluation, and treatment are needed to prevent permanent visual loss. Keywords : Pseudotumor cerebri, Sutural diastasis, Intracranial pressure
Corresponding author : Saim Kazan, skazan@akdeniz.edu.tr