Pseudotumor Cerebri Syndrome (PTCS)

Question 1

Pseudotumor cerebri syndrome is a group of conditions characterized by increased intracranial pressure with no evidence of intracranial mass, hydrocephalus, infection, or hypertensive encephalopathy. What is the ICP?
● A. ≥ 3 cm CSF
● B. ≥ 5 cm CSF
● C. ≥ 10 cm CSF
● D. ≥ 15 cm CSF
● E. ≥ 25 cm CSF

Answer 1

E. ≥ 25 cm CSF

Question 2

Secondary pseudotumor cerebri is commonly associated with which of the following?
● A. Spontaneous subarachnoid hemorrhage
● B. Dural sinus thrombosis
● C. Sudden hearing loss
● D. Horner syndrome
● E. CSF pleocytosis

Answer 2

B. Dural sinus thrombosis

Question 3

Which of the following is not included in the modified Dandy’s criteria for pseudotumor cerebri?
● A. Signs and symptoms of increased ICP
● B. No localizing signs
● C. Increased CSF pressure without chemical or cytological abnormalities
● D. Ventriculomegaly
● E. No intracranial mass

Answer 3

D. Ventriculomegaly

Question 4

Vision in pseudotumor cerebri should be followed with which of the following?
● A. Perimetry
● B. Optic coherence test
● C. Visual evoked potentials
● D. Measuring intraocular pressures
● E. MRI of globe

Answer 4

A. Perimetry

Question 5

What is the treatment for improvement of vision in a patient
of pseudotumor cerebri with visual loss without headache?
● A. Lumboperitoneal shunt
● B. Cisterna magna shunt
● C. VP shunt
● D. Optic nerve sheath fenestration
● E. Furosemide

Answer 5

D. Optic nerve sheath fenestration

Question 6

What is the duration of fulminant PTCS defined as time between onset of symptoms and severe loss of acuity or visual field?
● A. < 2 weeks
● B. < 4 weeks
● C. < 6 weeks
● D. < 8 weeks

Answer 6

B. < 4 weeks

Question 7

Which of the following drugs is not recommended in PTCS because of associated exacerbation of weight gain and risk of venous thrombosis?
● A. Acetazolamide
● B. Furosemide
● C. Steroids
● D. Topiramate
● E. Methazolamide

Answer 7

C. Steroids

Question 8

Pseudotumor cerebri is characterized by absence of intracranial mass or infection and presence of papilledema and symptomatic ICP elevation of more than 20 cm H2O?
● A. 3
● B. 5
● C. 10
● D. 15
● E. 25

Answer 8

E. 25

Question 9

Pseudotumor cerebri is commonly associated with which of the following?
● A. Spontaneous subarachnoid hemorrhage
● B. Dural sinus thrombosis
● C. Sudden hearing loss
● D. Horner syndrome
● E. CSF pleocytosis

Answer 9

B. Dural sinus thrombosis

Question 10

Which of the following is not included in the modified Dandy’s criteria for pseudotumor cerebri?
● A. Signs and symptoms of increased ICP
● B. No localizing signs
● C. Increased CSF pressure without chemical or cytological abnormalities
● D. Ventriculomegaly
● E. No intracranial mass

Answer 10

D. Ventriculomegaly