Benign Intracranial Hypertension

Benign intracranial hypertension also referred to as intracranial hypertension or pseudo cerebri, caused due to the increased pressure of cerebrospinal fluid inside the skull. The accumulation of excess cerebrospinal fluid around the brain and the spinal cord creates pressure over the brain and on the optic nerve, which may cause vision problems.

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Is my back pain due to hypoplastic or absent left transverse sinus or a transverse sinus thrombosis?

Query: Hi doctor, Two months back, I had an angiogram of head and neck, which came back negative. Is it possible to develop a pulmonary embolism just two months after the angiogram? For the past several days, I have back pain. What other symptoms can I expect?  Read Full »

Dr. Aida Abaz Quka

Answer: Hello, Welcome to I understand your concern. Your symptoms are not suggestive of pulmonary embolism as symptoms of this disorder are much more dramatic and acute. On the other hand, angiography does not lead to pulmonary embolism. In my opinion, the back pain could be related to a wr...  Read Full »

What does it mean when there is back pain, arm stiffness, and grip loss?

Query: Hello doctor,My daughter has been experiencing severe back pain, arm stiffness with grip loss, shooting pains down legs when the heel is put to floor and vision blurring when sitting in the car for long periods, for over two years following spinal anesthesia for C-section. MRI scans show nothing and...  Read Full »

Dr. Aida Abaz Quka

Answer: Hello, Welcome to I understand your concern and would explain that her symptoms (especially the grip loss in her arms and blurring vision) are not related to a lumbar spine disorder. A brain disorder (intracranial hypotension) or a cervical myelopathy could explain some of her sympto...  Read Full »

Is it recommended to do optic nerve sheath fenestration after VP shunt surgery?

Query: Hello doctor,My sister suffered intracranial hypertension six months back and she became blind a few weeks after. A lot was done (lumbar puncture, etc.) to bring back her vision but in vain. Recently she has had VP shunt surgery and there is another plan to do optic nerve sheath fenestration. I woul...  Read Full »

Dr. Sheikh Zubair Abdul Razzak

Answer: Hi, Welcome to I have seen the scans and the VEP (visual evoked potential) report you have sent (attachment removed to protect patient identity). In the OCT (optical coherence tomography) the optic nerve heads do seem bulged out. Was an MRI done? VP (ventriculoperitoneal) shunt surger...  Read Full »

Will continuous intake of Doxycycline for 10 days cause intracranial hypertension?

Query: Topic: Doxycycline and Intracranial Hypertension. I was prescribed 10 days Doxycycline (100mg twice a day) for a mild ear infection. I went back at 5 days and they said the infection was cleared and that I was able to stop taking it. I felt kind of stuck, because I was afraid to stop taking an ant...  Read Full »

Dr. Peter Bryant Rapsing Grutas

Answer: Hello! Thank you for this information. Although doxycyline may induce intracranial hypertension, it is relatively safe as long as you are guided by a doctor, and not a prescription online alone . Risk factor of developing intracranial hypertension in women includes obesity and with history of intr...  Read Full »

I think few images from my recent scan have not been looked at. Can you have a look?

Query: Hello doctor, I have been struggling for approximately two years with symptoms such as pulsatile tinnitus, dizziness, vertigo, orthostatic headaches and general fatigue. I had an MRI that showed empty Sella with some herniation of CSF into the pituitary gland area. I have a set of images from a CT a...  Read Full »

Dr. Chitrangada Jitendra

Answer: Hello, Welcome to The MRI findings are suggestive of benign intracranial hypertension and these also correlate well with your symptoms. In the scan provided, no obvious defect is seen in either of the cribriform plates. The CT angiogram is within normal limits. But still, if you have...  Read Full »

Does venous sinus stenosis and severe hypoplasia of transverse sinus in meent mean the same thing?

Query: Hello doctor, I have had pulsatile tinnitus in my right ear for a year, so I have had every test. Unfortunately, I do have a small hole in the semicircular canal. But now another maybe a problem. Through a CTV, it was discovered I have venous sinus stenosis. An angiogram report stated severe hypopla...  Read Full »

Dr. Hitesh Kumar

Answer: Hi, Welcome to Severe hypoplasia of the left transverse sinus means - the left transverse sinus is very small or not well-formed since the beginning (since birth or during development). It is a developmental anomaly and does not cause any symptoms. It should not be a reason for tinnitu...  Read Full »

I have poor balance, tingling in the fingers, dizziness, difficulty swallowing and standing. What could be the reason?

Query: Hello doctor,Can you please check my MRI carefully? My symptoms started nine years ago suddenly, and gradually these symptoms are progressing.I have poor balance, difficulty swallowing, tingling in the fourth and fifth fingers, difficulty standing still for more than three minutes, slow heart rate, ...  Read Full »

Dr. Vivek Chail

Answer: Hi, Welcome to Thanks for writing to us. I hope you are not in much discomfort. After reviewing your MRI (magnetic resonance imaging) brain and spine images (attachments removed to protect the patient's identity), my observations are below. Brain: There is mild cerebral and cereb...  Read Full »

Why am I suffering from poor imbalances, difficulty in standing and swallowing, and dizziness?

Query: Hello doctor,I am suffering from poor balance, difficulty in swallowing, tingling in the fourth and fifth fingers of both hands, difficulty in standing for more than three minutes, slow heart rate, and dizziness. All the symptoms started suddenly nine years ago. Could you please check my MRI careful...  Read Full »

Dr. Muhammad Shoyab

Answer: Hi, Welcome to I can see that you have been having different problems for quite some time. So, my finding is that the spine magnetic resonance imaging (MRI) is relatively normal (attachment removed to protect the patient's identity). There is only a bony hemangioma in one of the verte...  Read Full »

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