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[Pseudotumor cerebri and pregnancy--a case report]
Klinische Monatsblatter Fur Augenheilkunde
|March 14, 1998
Summary
Pregnancy with papilledema due to pseudotumor cerebri can be managed conservatively. Cesarean section was performed for gynecological reasons, with complete recovery of vision post-delivery.
Area of Science:
- Ophthalmology
- Neurology
- Obstetrics
Background:
- Controversy exists regarding indications for cesarean section or pregnancy interruption in women with ophthalmologic conditions.
- Papilledema, often associated with increased intracranial pressure, requires careful management during pregnancy.
Observation:
- A 34-year-old pregnant woman presented with bilateral papilledema at 14 weeks gestation.
- Neurological examinations and MRI were normal; no signs of EPH-gestosis were present.
- Visual acuity remained stable, though disc margins were hazy and blind spots enlarged, with intermittent myopia.
Findings:
- The pregnancy progressed uneventfully with weekly monitoring after 30 weeks.
- Cesarean section was performed at 37 weeks due to obstetric indications, not directly related to papilledema.
- Postpartum, the patient showed significant visual recovery.
Implications:
- This case suggests that papilledema due to pseudotumor cerebri may not necessitate early pregnancy termination or cesarean section solely for ophthalmic reasons.
- Conservative management with close monitoring is a viable approach.
- Further discussion on the indications for intervention in such cases is warranted.