Pseudotumor cerebri associated with Sjögren's syndrome

Graefes Arch Clin Exp Ophthalmol. 2003 Apr;241(4):339-42. doi: 10.1007/s00417-002-0620-6. Epub 2003 Mar 15.

Abstract

Purpose: To report a case of papilledema and pseudotumor cerebri developed in association with Sjögren's syndrome.

Methods: Case-report of a 38-year-old woman with history, imaging and histology confirming the diagnosis of both pseudotumor cerebri and Sjögren's syndrome who presented with bilateral decrease of vision.

Results: Papilledema associated with pseudotumor cerebri was observed in both eyes. The patient's visual acuity improved transiently with the administration of intravenous steroids and cyclophosphamide; subsequently she needed a ventriculoperitoneal shunt.

Conclusion: Sjögren's syndrome should be considered in the different etiologies of pseudotumor cerebri. The major improvement with corticosteroids and ventriculoperitoneal shunt makes prompt diagnosis essential.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Fluorescein Angiography
  • Glucocorticoids / therapeutic use
  • Humans
  • Papilledema / diagnosis
  • Papilledema / etiology*
  • Papilledema / therapy
  • Pseudotumor Cerebri / diagnosis
  • Pseudotumor Cerebri / etiology*
  • Pseudotumor Cerebri / therapy
  • Sjogren's Syndrome / complications*
  • Sjogren's Syndrome / diagnosis
  • Sjogren's Syndrome / therapy
  • Ventriculoperitoneal Shunt
  • Visual Acuity

Substances

  • Glucocorticoids