Intracranial Hypertension in a Dieting Patient
作者:
Michael Sirdofsky,
Jorge Kattah,
Pablo Macedo,
期刊:
Journal of Neuro-Ophthalmology
(OVID Available online 1994)
卷期:
Volume 14,
issue 1
页码: 9-11
ISSN:1070-8022
年代: 1994
出版商: OVID
关键词: Pseudotumor cerebri;Diet;Iron-deficiency anemia;Venous sinus thrombosis
数据来源: OVID
摘要:
We report a case of encephalopathy with paranoid psychosis in association with intracranial hypertension. This occurred in a patient whose diet consisted almost solely of walnuts, ginseng tea, and vitamin A supplements. The patient was found to be severely iron- and vitamin B12-deficient. She was vitamin A toxic. Venous sinus thrombosis was also present. Symptoms remitted with serial lumbar punctures, normalization of diet, and repletion of vitamin B12and iron stores. Physicians should be alerted to the possibility of a potentially confusing clinical presentation with coexistent and seemingly mutually exclusive neruologic conditions in patients with extremely restricted or fad diets.
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