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Tuesday, November, 24, 2009
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Winter Holiday GuideEnjoying the Holidays Despite Migraines and Headaches --> Info for you...

The ONLY definitive way to diagnose pseudotumor cerebri

Teri Robert
Teri Robert
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Teri Robert is Writing a SharePost
Author of "Living Well with Migraine Disease and Headaches"

Patient advocate and writer Teri Robert's career moved in this...

Teri Robert

Tuesday, June 10, 2008
View All of Teri Robert's Posts
Since people have been commenting on this SharePost again, it's evident that doctors are still telling people that they can diagnose or rule out pseudotumor cerebri by looking in the eyes for papilledema. I just read a post in our forum, and now I'm really steamed. I mean royally ticked off! Migrai...
  1. Rant for a good reason
    Cindi
    Saturday, February 17, 2007 at 02:49 PM

    You go gurl! Why can't some doctor's just admit that they aren't "up" on migraines and refer their patient to someone who is?? I've met doctors like that in my migraine journey, when I didn't have sense enough to believe in myself and find another doctor. I've said a prayer for this poor woman in hopes that she'll find what she needs.



    I love your slapping graphic, Teri!

    Reply
  2. you are awesome!
    Anonymous
    Thursday, March 01, 2007 at 12:48 AM
    God do i love the way you say things as they are! It's refreshing. Weeniewifey, bim
    Reply
  3. We must have seen the SAME Neuro-Idiot!!!!;-)
    Rebecca
    Monday, April 23, 2007 at 03:27 AM

    Seriously!  I have a 12 yr old daughter that has had head pain for three months, with nausea, dizziness, light flashes, and is worse upon awakening.  Neuro-Idiot say she has a 1 in 10,000 chance of having PTC since she does not have papilledema!!*0*  Oh, and she has also had the swooshing sound in her ear!  I am so frustrated with arrogant doctors that won't listen!  Funny how two younger doctors asked the same exact question upon hearing her symptoms...."Has she had an LP yet?"  This neurosurgeon said he couldn't get an accurate pressure reading on her because she is 12.  He tried to intimidate me by telling me he would have to drill a hole in her skull, and insert an intracranial monitor!!!  Oh, please!!  I guess all of the othe million nuerosurgeons in the world that use LP's are nuts, Huh???

    Thanks for the article!!

    Reply
    re: We must have seen the SAME Neuro-Idiot!!!!;-)
    caymantime
    Wednesday, June 11, 2008 at 09:29 PM

    Rebecca, did your daughter end up having this?  I don't know what direction to go in.  My daughter's had one for 4 months. The ped neuro suggested psychological and ruled out pseudotumor also by looking at her eyes. No migraine meds have helped.  I'm trying to find someone else who has gone through this, and you're the first!  Love to hear back from you!

    Reply
  4. Rebecca
    Teri Robert
    Monday, April 23, 2007 at 10:54 AM
    Rebecca,

    Sorry you and your daughter had this problem. I've lost track of how many people have been told they can't have PTC because they don't have papilledema, but it happens over and over again. Doctors used to say that PTC is rare, but it seems to me it's not as rare as some people think. Maybe it seemed rare because it's not being diagnosed?

    Hope things are better now!

    Teri
    Reply
  5. Untitled Comment
    Sammy
    Tuesday, May 29, 2007 at 05:31 AM
    Way to go, Teri!

    Did anyone email a link to the Neuro Idiot? Maybe we should start doing that! En masse. And maybe we should start emailing such info (naming and shaming such NIs) to their licensing bodies.

    Maybe these NIs also need intensive courses in Ego Management also!

    As you say Teri, migraine disease is bad enough without these oiks chipping in their tuppence worth of ineffective speculation.


    Reply
  6. pseudotumor
    Anonymous
    Tuesday, June 10, 2008 at 05:46 PM

    I need help and guidance.  My daughter is 11 and has had a "migraine" for 4 months.  Please note I said migraine in the singular because it hasn't let up for a minute.  We've done everything including hbot therapy.  She also has RSD.  I took her yesterday to a ped. neurologist who looked in her eyes and ruled out pseudotumor which I specifically asked about.  She said she hasn't taken the meds that cause it.  Any advice here?  Does anyone have a Dr anywhere that might take a pediatric case--- in case this Dr can't find the cause of the headache?  She said she'll go the psychiatric route if they can't find a cause which had me extremely upset.  Thanks for any advice!

     

    Frustrated mom!

    Reply
    re: pseudotumor
    Teri Robert
    Tuesday, June 10, 2008 at 06:26 PM

    Time for a new doctor!


    When a Migraine lasts longer than 72 hours without at least a solid 4-hour pain-free period, while awake, it's termed Stauts Migrainous, and it needs to be broken. PLEASE read Status Migrainous - The Basics. There are many, many things that can be done to break such a Migraine. Often, an IV infusion of simple magnesium sulfate will do it. If not, there are other meds that can be tried. Also, sometimes, a steroid pack -- high dose on day 1, tapering down each day for a week -- will do it.

     

    Also, as this SharePost points out, looking in her eyes for papilledema does NOT rule out pseudotumor cerebri. ONLY a lumbar puncture can do that. If her neuro ruled it out based on the eye exam, fire her sorry butt and move on to a new doctor. If you go to our directory of patient recommended Migraine specialists, you'll find a page specifically listing pediatric specialists.

     

    Good luck to you and your daughter. Please let me know how things go?

     

    Teri

    Reply
  7. Then and Now
    Cortney
    Wednesday, July 15, 2009 at 02:26 PM

    I was first thought to have PTC when I went to my optometrist because I had headaches for so long.  I had already had a CT scan and an MRI.  My GP said it must be sinuses so I was on steroids and antibiotics forever.  Finally I went to the eye doctor, thinking it was my last hope.  He was concerned because I told him I saw shadows.  He checked my optic nerve and said I had 2+ edema and I needed to see a neurologist right away.  His receptionist called one and they didn't call back with an appointment, just for my insurance info.  I told a friend of mine about the ordeal-she just happens to be a surgical nurse that works with a different neurosurgeon.  He blew up my phone, leaving message after message.  I didn't think it was that big of a deal because the other guy didn't call back and this was days later.  I left work and went straight to his office for an LP.  My opeing pressure was 45 cm/in3.  He said normal was between 12-20.  I was put on Diamox.  I had several LP in the next few months.  He said the only way to get rid of it was to lose weigh.  I did.  I lost 40 lbs, and the headaches went away.  My vision has changed, and I have to wear glasses now.  That was 18 months ago.  I recently have been having headaches again, but I haven't gained any weight back.  I have steadily lost weight.  I am concerned because he said our next step was a shunt.  The last thing I want is a drilled hole into my skull but it is affecting me at school and home.  What do you think??

    Reply
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