[Pseudotumor cerebri and pregnancy--a case report]

Indications for section caesarean or interruption in ophthalmologic diseases are discussed controversially in the literature and are often overemphasized.

A 34-year-old VII-gravida VI-para consulted our clinic for the first time in her 14th week of pregnancy because of bilateral papilledema. There was no indication for EPH-gestosis, neurological examination als well as MRT were normal. In control examinations--first every 3 weeks, then with the beginning of the 30th week of pregnancy every week--the clinical course was uneventful: visual acuity remained on both sides 1.0, on the right eye more than on the left eye the discs appeared prominent with hazy margins, the blind spot was enlarged on the right eye more than on the left eye. Furthermore there was intermittent myopia. In the 37th week of pregnancy section caesarean was performed because of gynecological indications. At the last examination, 4 weeks later, there was a nearly complete restitution ad integrum.

Indications for section caesarean or interruption in patients with papilledema due to pseudotumor cerebri will be discussed with the literature.