title: The role of bedside ultrasound in pretherapeutic and posttherapeutic lumbar puncture in patient with idiopathic intracranial hypertension.
abstract: Idiopathic intracranial hypertension (IIH), also known as pseudotumor cerebri, is often a debilitating condition characterized by headaches, blurry vision, nausea, and vomiting. Lumbar puncture (LP) is an essential component of the diagnostic and therapeutic approach; however, the procedure itself can cause postlumbar puncture headache. In addition to the clinical presentation, the use of bedside ultrasound to measure the optic nerve sheath diameter may aid in differentiating the 2 conditions.We hereby report a case of a 33-year old woman with known IIH who presented with recurrent headache after the initial therapeutic LP.
authors.affiliation: NYMC, Metropolitan Hospital Center, Department of Emergency Medicine, New York, NY; Mount Sinai School of Medicine, Lutheran Medical Center, Department of Emergency Medicine, Metropolitan Hospital, New York, NY; St George's University School of Medicine, Lutheran Medical Center, Department of Emergency Medicine, Metropolitan Hospital, New York, NY. Electronic address: getawh@yahoo.com.
authors.forename: Getaw Worku
authors.initials: GW
authors.lastname: Hassen
authors.affiliation: NYMC, Metropolitan Hospital Center, Department of Emergency Medicine, New York, NY.
authors.forename: Omer
authors.initials: O
authors.lastname: Nazeer
authors.affiliation: NYMC, Metropolitan Hospital Center, Department of Emergency Medicine, New York, NY.
authors.forename: Fotini
authors.initials: F
authors.lastname: Manizate
authors.affiliation: NYMC, Metropolitan Hospital Center, Department of Emergency Medicine, New York, NY.
authors.forename: Neal
authors.initials: N
authors.lastname: Patel
authors.affiliation: NYMC, Metropolitan Hospital Center, Department of Emergency Medicine, New York, NY.
authors.forename: Hossein
authors.initials: H
authors.lastname: Kalantari
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D009900:Optic Nerve / Q000000981:diagnostic imaging* / Q000503:physiopathology; D019095:Point-of-Care Systems; D011559:Pseudotumor Cerebri / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000628:therapy; D013129:Spinal Puncture / Q000379:methods; D014463:Ultrasonography