Perda visual na síndrome do pseudotumor cerebral

Perda visual na síndrome do pseudotumor cerebral


Mário Luiz Ribeiro Monteiro


Arquivos Brasileiros de Oftalmologia

versão impressa ISSN 0004-2749versão On-line ISSN 1678-2925

Arq. Bras. Oftalmol. vol.57 no.2 São Paulo abr. 1994


Nenro-ophthalmologic examination including Goldmann perimetry was performed in 58 eyes of 29 patients with pseudotumor cerebri. Forty two eyes (72,4%) revealed some deficit in visual function and 15 (25,8%) had severe visual loss. This study confirmed the high incidence of visual impairment in this condition and revealed a higher frequency of severe visual loss when compared to other studies. These data serve to emphasize the need to active participation of the ophthalmologist in the management of this condition.


1 CORBETI, J.J.- Problems in the diagnosis and treatment of pseudotumor cerebri. Can. J. Neurol. Sci., 10:221-9,1983.
2 WALL, M.D.; HART, W.M.; BURDE, R.M.- Visual field defects in idiopathic intracranial hypertension (pseudotumor cerebri). Am. J. Ophthalmol., 96: 654-69, 1983.
3 CORDETI, J.J.; SAVINO, P.J.; THOMPSON, H.S.; KANSU, T.; SCHATZ, N.J.; ORR, L.S.; HOPSON, D.- Visual loss in pseudotumor cerebri. Arch. Neurol., 39: 461-74, 1982.
4 ORCUTT, J.C.; PAGE, N.G.R.; SANDERS, M.D.- Factors affecting visual loss in benign intracranial hypertension. Ophthalmology, 91: 1303-12, 1984.
5 WALL, M.; GEORGE, D.- Visual loss in pseudotumor cerebri. Incidence and defects related to visual field strategy. Arch. Neurol., 44: 170-5, 1987.
6 MONTEIRO, M.L.R.; HOYT, W.F.; IMES, R.K.; NARAHARA, M.- Papiledema unilateral na síndrome do pseudotumor cerebral. Arq. Neuro-psiquiatria, 43:154-9, 1985.
7 WALL, M.; GEORGE, D.- Idiopathic intracranial hypertension. A prospective study of 50 patients. Brain, 114: 155-80, 1991.
8 COPPETO, J.R.; MONTEIRO, M.L.R.- Juxtapapillary subretinal hemorrhages in pseudotumor cerebri. J. Clin. Neuro-ophthalmol., 5: 45-53, 1985.
9 WEISBERG, L.A. - Benign intracranial hypertension. Medicine, 54: 197-207, 1975.
10 SMITH, T.J.; BAKER, R.S.- Perimetric findings in pseudotumor cerebri using automated techniques. Ophthalmology, 93: 887-94, 1986
11 CORBETT, J.J.; THOMPSON, H.S.- The rational management of idiopathic intracranial hypertension. Arch. Neurol., 46: 1049-51, 1989.
12 SERGOTT, R.C.; SAVINO, P.J.; BOSLEY, T.M.- Modified optic nerve sheath decompression provides long-term visual improvement for pseudotumor cerebri. Arch. Ophthalmol., 106: 1384-90, 1988.