Pseudotumor Cerebri Support Group
Pseudotumor cerebri (PTC) is a neurological disorder that is characterized by increased intracranial pressure, in the absence of a tumor or other diseases affecting the brain or its lining. Diagnosis requires brain scans and lumbar puncture. Characteristic symptoms are headache, transient visual obscurations or transient visual loss in one or both eyes usually lasting...
@Kristena, you are NOT a wimp for wanting relief and wondering what to expect. If anything, that sounds like a very sane, constructive response to debilitating pain. I was just reading some physician's notes an hour or so ago about LPs and they said the relief tends to last around 80 hours -- much less for some. I know I never really get the total relief some describe from an LP, and have been told that my CSF regen rate is exceptionally high. Serial LPs just aren't the answer to this type of pain, and they come with considerable risks compared to other current treament options.
There seems to be two schools of thought on how intracranial pressure is attacked. Some docs consider potential vision loss and pressure-related symptoms so urgent that they want to do ONSF and/or shunt surgery right away and worry about meds later. Others are more conservative and want to try diet and medicaton first to see if that produces results without surgery. Has your neuro prescribed Diamox and/or Lasix yet? If your doc is attempting to treat you with nothing but serial LPs, you need to seek a second opinion ASAP! NOBODY does that anymore.
@Kristena, you are NOT a wimp for wanting relief and wondering what to expect. If anything, that sounds like a very sane, constructive response to debilitating pain. I was just reading some physician's notes an hour or so ago about LPs and they said the relief tends to last around 80 hours -- much less for some. I know I never really get the total relief some describe from an LP, and have been told that my CSF regen rate is exceptionally high. Serial LPs just aren't the answer to this type of pain, and they come with considerable risks compared to other current treament options.
There seems to be two schools of thought on how intracranial pressure is attacked. Some docs consider potential vision loss and pressure-related symptoms so urgent that they want to do ONSF and/or shunt surgery right away and worry about meds later. Others are more conservative and want to try diet and medicaton first to see if that produces results without surgery. Has your neuro prescribed Diamox and/or Lasix yet? If your doc is attempting to treat you with nothing but serial LPs, you need to seek a second opinion ASAP! NOBODY does that anymore.
@Kristena, you are NOT a wimp for wanting relief and wondering what to expect. If anything, that sounds like a very sane, constructive response to debilitating pain. I was just reading some physician's notes an hour or so ago about LPs and they said the relief tends to last around 80 hours -- much less for some. I know I never really get the total relief some describe from an LP, and have been told that my CSF regen rate is exceptionally high. Serial LPs just aren't the answer to this type of pain, and they come with considerable risks compared to other current treament options.
There seems to be two schools of thought on how intracranial pressure is attacked. Some docs consider potential vision loss and pressure-related symptoms so urgent that they want to do ONSF and/or shunt surgery right away and worry about meds later. Others are more conservative and want to try diet and medicaton first to see if that produces results without surgery. Has your neuro prescribed Diamox and/or Lasix yet? If your doc is attempting to treat you with nothing but serial LPs, you need to seek a second opinion ASAP! NOBODY does that anymore.
@Kristena, you are NOT a wimp for wanting relief and wondering what to expect. If anything, that sounds like a very sane, constructive response to debilitating pain. I was just reading some physician's notes an hour or so ago about LPs and they said the relief tends to last around 80 hours -- much less for some. I know I never really get the total relief some describe from an LP, and have been told that my CSF regen rate is exceptionally high. Serial LPs just aren't the answer to this type of pain, and they come with considerable risks compared to other current treament options.
There seems to be two schools of thought on how intracranial pressure is attacked. Some docs consider potential vision loss and pressure-related symptoms so urgent that they want to do ONSF and/or shunt surgery right away and worry about meds later. Others are more conservative and want to try diet and medicaton first to see if that produces results without surgery. Has your neuro prescribed Diamox and/or Lasix yet? If your doc is attempting to treat you with nothing but serial LPs, you need to seek a second opinion ASAP! NOBODY does that anymore.
Kristena
You are NOT a wimp. Relief from my LP's last about 1-2 days.
When the meds are either not working or are not tolerated, the doctors start talking shunt. I'm being reminded at each appointment by my neurologist.
Just remember - you have choices. Actually, a fair number of them. You may choose a shunt right off the bat or choose something else to try first. The most important thing is that you go in educated, separately from your doctor's appointment. Do the research!
I prefer to look at all options. I look at them based on risk and level of effectiveness. Here's a list of the options I could find. They are rated on what I judge to be the level of Invasiveness & Effectiveness. I'm pretty sure someone else would rate them totally differently. Effectiveness includes how long the treatment can work or last.
Weight loss: (invasiveness- zero, effectiveness- high)
Octreotide: (invasiveness- medium, effectiveness- high)
Diamox/Topamax/Lasix: (invasiveness- medium, effectiveness- medium/high)
Shunts/VP/LP: (invasiveness- high, effectiveness- low/medium), Depends on the kind
Stents: ?? Depends on the kind
http://www.ihrfoundation.org/intracranial/hypertension/info/C31
Unfortunately I didn't start at the top of the list and work my way down, which is what I'd do if I had it to do over again. Right now I'm in the beginning stages of seriously researching Octreotide. Right now figuring out if I can afford it, and what the lifetime, long-term consequences might be.
I know everyone bristles when weight loss is talked about, and some of the data says that IH causes obesity not the other way around, BUT, those same studies show that a reduction in body mass also reduces IH. So I'm trying like crazy to lose weight.