Intracranial Hypertension in a Dieting Patient

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Title Intracranial Hypertension in a Dieting Patient
Creator Michael Sirdofsky, MD; Jorge Kattah, MD; Pablo Macedo, MD
Affiliation Department of Neurology, Georgetown University Hospital, Washington, D.C. 20007
Abstract We report a case of encephalopathy with paranoid psychosis in association with intracranial hypertension. This occurred in a patient whose diet consisted almost solely of walnuts, ginseng tea, and vitamin A supplements. The patient was found to be severely iron- and vitamin B12-deficient. She was vitamin A toxic. Venous sinus thrombosis was also present. Symptoms remitted with serial lumbar punctures, normalization of diet, and repletion of vitamin B12 and iron stores. Physicians should be alerted to the possibility of a potentially confusing clinical presentation with coexistent and seemingly mutually exclusive neurologic conditions in patients with extremely restricted or fad diets.
Subject Anemia; Hypochromic; Diet; Female; Intracranial Embolism and Thrombosis; Magnetic Resonance Imaging; Paranoid Disorders; Pseudomotor Cerebri; Vitamin B 12 Deficiency
Date 1994-03
Language eng
Format application/pdf
Type Text
Publication Type Journal Article
Collection Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/
Publisher Lippincott, Williams & Wilkins
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management © North American Neuro-Ophthalmology Society
ARK ark:/87278/s6hx4jrg
Setname ehsl_novel_jno
ID 224540
Reference URL https://collections.lib.utah.edu/ark:/87278/s6hx4jrg
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