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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Headaches, Dizziness. Has Pseudotumor Cerebri Due To Meningitis. Help?

My daughter has pseudotumor cerebri due to meningitis . She had to have a programable vp shunt after two failed lp shunts. Her ventricles are narrowed and from the recent MRI, ventricles are collapsed. Her shunt is set on 100 but she is still having headaches and dizziness...what is your recommendation. She sees a neurosurgeon and a neurologist with the neurologist just putting her on a steriod to help but it hasn t.
Fri, 2 Aug 2013
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General & Family Physician 's  Response
Hi and thanks for the query,

Steroids are actually the ideal treatment for her for the moment. She might need sometime before getting the maximum effect of these steroids. This is a chronic condition and to get results due to readjustments of given intraceberal pressures and respect clinical manifestations might require sometime. If in a month or two, no positive results are obtained, a control might be required maybe to modify the diagnosis, modify the treatment or check for some other thing. For now, in my opinion, steroids are the most appropriate and justified therapy for her.

Kind regards,

Bain LE, MD.
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Headaches, Dizziness. Has Pseudotumor Cerebri Due To Meningitis. Help?

Hi and thanks for the query, Steroids are actually the ideal treatment for her for the moment. She might need sometime before getting the maximum effect of these steroids. This is a chronic condition and to get results due to readjustments of given intraceberal pressures and respect clinical manifestations might require sometime. If in a month or two, no positive results are obtained, a control might be required maybe to modify the diagnosis, modify the treatment or check for some other thing. For now, in my opinion, steroids are the most appropriate and justified therapy for her. Kind regards, Bain LE, MD.