Treatment is aimed at the cause of the pseudotumor.
A lumbar puncture can help relieve pressure in the brain and prevent vision problems.
Other treatments may include:
Fluid or salt restriction
Medications such as corticosteroids, acetazolamide, and furosemide
Shunting procedures to relieve pressure from spinal fluid buildup
Surgery to relieve pressure on the optic nerve
Patients will need to have their vision closely monitored. There can be vision loss, which is sometimes permanent. Follow-up MRI or CT scans may be done to rule out hidden cancer.
Sometimes the condition disappears on its own within 6 months. Symptoms can return in some persons. A small number of patients have symptoms that slowly get worse and lead to blindness.
Vision loss is a serious complication of this condition.
When to Contact a Medical Professional
Call your health care provider if you or your child experiences the symptoms listed above.
DeAngelis LM. Tumors of the central nervous system and intracranial hypertension and hypotension. In: Goldman L, Schafer AI, eds. Goldman's Cecil Textbook of Medicine. 24th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 195.
Luc Jasmin, MD, PhD, Department of Neurosurgery, Cedars Sinai Medical Center, Los Angeles and Department of Anatomy, University of California, San Francisco, CA. Review provided by VeriMed Healthcare Network. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, Bethanne Black, Stephanie Slon, and Nissi Wang.