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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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I Am Getting Continues Headaches,double Vision And Dizziness,taking Diamox But Not Satisfied With The Treatment

Just curious..... After headaches continuously for several months and sudden onset of double vision and dizziness . I had a clean MRI , and was ordered to have a lumbar puncture/spinal tap. After the spinal tap, I was diagnosed with pseudo tumor cerebri. When diagnosed my original spinal tap opening pressure was 35, closing 19. I immediately started Diamox . Immediately the symptoms disappeared, but just about 3 months after starting Diamox, slowly the headaches began again mildly and progressively got worse. My follow up spinal tap was just performed yesterday. It has been 3.5 months and I had a followup spinal pressure yesterday of 29, closing of 16. It appears the Diamox is not completely working, what are other possible treatment or diagnoses? Any doctor advice is welcome! I have seen a neuro-optomologist. Really just curious because my optic nerves now look great and are back to normal. My eye doctor said there is nothing further she can do. I also wondered if I should get a neurologist ? What else can cause constant rising pressure? Anything is or would be helpful from a certified doctor..... Thank you
Sun, 17 Jul 2011
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Orthopaedic Surgeon 's  Response
Welcome to Healthcare Magic
Pseudotumor cerebri is high CSF pressure which can occur due to decreased reabsorption of CSF in the brain. It can be due to high levels of Vitamin A in the body which can be due to diet or acne treatment, drugs like Tetracycline, Doxycline, contraceptives. Decreased absorption of CSF can cause increased pressure. You can take Paracetamol/Acetaminophen for headaches. If there is persistent symptoms like blurring vision, headaches, change of drug or surgical intervention may be necessary.
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I Am Getting Continues Headaches,double Vision And Dizziness,taking Diamox But Not Satisfied With The Treatment

Welcome to Healthcare Magic Pseudotumor cerebri is high CSF pressure which can occur due to decreased reabsorption of CSF in the brain. It can be due to high levels of Vitamin A in the body which can be due to diet or acne treatment, drugs like Tetracycline, Doxycline, contraceptives. Decreased absorption of CSF can cause increased pressure. You can take Paracetamol/Acetaminophen for headaches. If there is persistent symptoms like blurring vision, headaches, change of drug or surgical intervention may be necessary.