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Re: ob:pregnancy with diplopia From: zygote@ICSI.Net Thu Mar 5 14:08:00 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Robert Brenner: "Re: Rectal divarication" Previous message: Geffrey H. Klein, MD: "Re: IUD Survey" In reply to: Dr. Amarnath Bhide/Rajendra Deshpande: "ob:pregnancy with diplopia" > Date: Thu, 5 Mar 1998 09:36:19 -0600 > Reply-to: ob-gyn-l@obgyn.net > From: "Dr. Amarnath Bhide/Rajendra Deshpande" <amarnath@bom2.vsnl.net.in> > To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> > Subject: ob:pregnancy with diplopia > I need an advice on the following case. 23 yr old primigravida > with 10 wks pregnancy presented with diplopia of 2 weeks' duration. No > other symptoms. UPT positive. Ophthalmology reference showed no active > ophthalmological problem. CT skull showed normal cerebrum and cerebellum, > normal ventricular system, normal posterior fossa, calvarium, soft tissue > transverse/inf & sup saggital sinuses. LFT, RFT, electrolytes normal LP > showed a raised ICT of 32 cms. Diagnosis was benign intracranial > hypertension with V nerve palse with raised ICT. > 1. Is there an association with pregnancy? > 2. Should the pregnancy be terminated? > 3. Is this a pregnancy complication? > Patient continues to have diplopia. > Dr. Amarnath Bhide > Associate Professor, > N. Wadia Maternity Hospital, Bombay, India. > e-mail - amarnath@bom2.vsnl.net.in The process is not restricted to pregnancy and has been seen in all forms of divers Rx including antibiotics, estrogens,ocp,progestins, pregnancy and spontaneously. It is normally as implied by the name benign intracranial hypertension. It can be treated by steroids, repetitive lumbar punctures, and in cases where other therapy has failed by ophthalmic surgery to fenestrate the posterior eye to allow drainage of CSF. Most sources have little concerning it but infrequently is it a reason for a TAB. The last issue of pregancy complication, only if treatment is not given because of "fear" of the pregnancy and a catastrophe occurs. There are a number of references - books and others. Hope this helps. Robert J. Carpenter, Jr. MD St. Luke's Medical Tower,#2720 6624 Fannin,Houston,Tx 77030 zygote@icsi.net 713-795-4600 FAX:713-795-4422 Next message: Robert Brenner: "Re: Rectal divarication" Previous message: Geffrey H. Klein, MD: "Re: IUD Survey" In reply to: Dr. Amarnath Bhide/Rajendra Deshpande: "ob:pregnancy with diplopia"

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