A 26-year-old obese woman presents with progressive daily headaches and recurrent transient visual obscurations. Vital signs show BP 138/88 mmHg, HR 82/min, RR 16/min, temp 37.2°C, SpO2 98% on room air. Examination reveals bilateral papilledema with intact color vision and no focal neurologic deficits. MRI brain and spine are normal. Lumbar puncture demonstrates opening pressure of 32 cm H2O with normal glucose, protein, and cell count. Which of the following is the most likely diagnosis?
- A)Normal pressure hydrocephalus
- B)Idiopathic intracranial hypertensionGABARITO
- C)Subarachnoid hemorrhage
- D)Meningitis
- E)Temporal arteritis
Explicação
Idiopathic intracranial hypertension is correct. Pseudotumor cerebri typically occurs in young women with obesity and causes headache, papilledema, and transient visual obscurations with increased intracranial pressure but otherwise normal neuroimaging and cer... Ver explicação completa e trilha adaptativa →