The Role of Bedside Ultrasound in Pretherapeutic and Posttherapeutic Lumbar Puncture in Patient With Idiopathic Intracranial Hypertension

Authors

Getaw Worku Hassen, NYMC, Metropolitan Hospital Center, Department of Emergency Medicine, New York, NY; Mount Sinai School of Medicine, Lutheran Medical Center, Department of Emergency Medicine, Metropolitan Hospital, New York, NY; St George's University School of Medicine, Lutheran Medical Center, Department of Emergency Medicine, Metropolitan Hospital, New York, NY. Electronic address: getawh@yahoo.com.
Omer Nazeer, NYMC, Metropolitan Hospital Center, Department of Emergency Medicine, New York, NY.
Fotini Manizate, NYMC, Metropolitan Hospital Center, Department of Emergency Medicine, New York, NY.
Neal Patel, NYMC, Metropolitan Hospital Center, Department of Emergency Medicine, New York, NY.
Hossein Kalantari, NYMC, Metropolitan Hospital Center, Department of Emergency Medicine, New York, NY.

Author Type(s)

Faculty

DOI

10.1016/j.ajem.2014.03.028

Journal Title

The American Journal of Emergency Medicine

First Page

1298.e3

Last Page

4

Document Type

Article

Publication Date

10-1-2014

Abstract

Idiopathic intracranial hypertension (IIH), also known as pseudotumor cerebri, is often a debilitating condition characterized by headaches, blurry vision, nausea, and vomiting. Lumbar puncture (LP) is an essential component of the diagnostic and therapeutic approach; however, the procedure itself can cause postlumbar puncture headache. In addition to the clinical presentation, the use of bedside ultrasound to measure the optic nerve sheath diameter may aid in differentiating the 2 conditions.We hereby report a case of a 33-year old woman with known IIH who presented with recurrent headache after the initial therapeutic LP.

Recommended Citation

Hassen, G. W., Nazeer, O., Manizate, F., Patel, N., & Kalantari, H. (2014). The Role of Bedside Ultrasound in Pretherapeutic and Posttherapeutic Lumbar Puncture in Patient With Idiopathic Intracranial Hypertension. The American Journal of Emergency Medicine, 32 (10), 1298.e3-4. https://doi.org/10.1016/j.ajem.2014.03.028