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Correspondence
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Volume 338:1549-1550 May 21, 1998 Number 21
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Case 1-1998: A Boy with a Seizure

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To the Editor: In his discussion of an 11-year-old boy with a seizure (Jan. 8 issue),1 Riviello states that in pseudotumor cerebri, pleocytosis is typically present on lumbar puncture. Our experience is that the lumbar puncture is normal. Pseudotumor cerebri is usually associated with a normal cerebrospinal fluid cell count and normal protein content.2,3,4,5


Alejandro Awad, M.D.
Ricardo Gutierrez Children's Hospital of Buenos Aires
Buenos Aires, Argentina

References

  1. Case Records of the Massachusetts General Hospital (Case 1-1998).N Engl J Med 1998;338:112-9. 
  2. Pseudotumor cerebri. In: Nelson WE, ed. Nelson textbook of pediatrics. 15th ed. Philadelphia: W.B. Saunders, 1996:1735-6.
  3. Weisberg LA, Chutorian AM. Pseudotumor cerebri of childhood. Am J Dis Child 1977;131:1243-1248. [Free Full Text]
  4. Oski FA, ed. Principles and practice of pediatrics. Philadelphia: J.B. Lippincott, 1990:869.
  5. Baker RS, Baumann RJ, Buncic JR. Idiopathic intracranial hyperten-sion (pseudotumor cerebri) in pediatric patients. Pediatr Neurol 1989;5:5-11. [CrossRef][Medline]

 
Dr. Riviello replies:

To the Editor: Dr. Awad correctly states that the results of lumbar puncture are usually unremarkable in childhood pseudotumor cerebri. However, the discussion at that point in the Case Record . . . [Full Text of this Article]

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