Pseudotumor cerebri: an update on treatment options

The aim was to identify Pseudotumor cerebri treatment options and assess their efficacy.

Review article.

Existing literature and the authors' experience were reviewed.

Treatment options range from observation to surgical intervention. Weight loss and medical treatment may be utilized in cases without vision loss or in combination with surgical treatment. Cerebrospinal fluid shunting procedures and/or optic nerve sheath decompression is indicated for severe vision loss or headache unresponsive to medical management. The recent use of endovascular stenting of transverse sinus stenoses has also demonstrated benefit in patients with pseudotumor cerebri.

While each treatment form may be successful individually, a multimodal approach is typically utilized with treatments selected on a case-by-case basis.