Pseudotumor cerebri long-term management

[lordman]

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A typical case of pseudotumor cerebri. Asks you which of the following is the best management on long term basis?

A) Weight loss
B) Surgery (shunting)


I am confused between these 2 choices!

 

[Cytarabine]

What's confusing? Shunt is way down the list of treatment options for IIH. Pretty much all obese patients with IIH should lose weight. Not sure if I'm missing something

 

[Phloston]

I can understand the confusion in the sense that this question might be implying "what's the best long-term definitive management?" In that case, weight loss is still correct, although this does give surgery a slightly greater consideration. Obesity on its own isn't the only risk factor for IIH.