Pseudotumor cerebri associated with Pickwickian syndrome and obstructive sleep apnea syndrome: a case report

Selver O. B., Bajin M. S., Itil O., SAATCİ A. O.

International Journal of Ophthalmology, cilt.11, sa.4, ss.581-583, 2011 (SCI-Expanded) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 11 Sayı: 4
  • Basım Tarihi: 2011
  • Doi Numarası: 10.3969/j.issn.1672-5123.2011.04.005
  • Dergi Adı: International Journal of Ophthalmology
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.581-583
  • Anahtar Kelimeler: Chronic respiratory insufficiency, Obstructive sleep apnea syndrome, Papilledema, Pickwickian syndrome
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

AIM: To report a male patient with Pickwickian syndrome and obstructive sleep apnea (OSA) who presented with pseudotumor cerebri and visual loss. METHODS: Case report. RESULES: A 54-year-old obese man with a three-month history of bilateral visual deterioration was evaluated. His visual acuity was 20/200 in OD and 20/400 in OS. Color vision was impaired only in the left eye. Funduscopy revealed bilateral disc edema and peripapillary hemorrhages together with macular exudates in OS. Physical examination and laboratory investigations were consistent with OSA and Pickwickian syndrome. Lumbar puncture demonstrated an opening pressure of 350mm H 2O and computed brain scan was normal. The diagnosis was pseudotumor cerebri in association with OSA and Pickwickian syndrome. Fundus findings and visual acuity improved with phlebotomy, blood pressure regulation, weight reduction and bi-level positive airway pressure therapy. CONCLUSION: OSA and Pickwickian syndrome should be kept in mind when facing a patient with pseudotumor cerebri.