To the Editor: In his discussion of an 11-year-old boy witha seizure (Jan. 8 issue),1 Riviello states that in pseudotumorcerebri, pleocytosis is typically present on lumbar puncture.Our experience is that the lumbar puncture is normal. Pseudotumorcerebri is usually associated with a normal cerebrospinal fluidcell count and normal protein content.2,3,4,5
Alejandro Awad, M.D. Ricardo Gutierrez Children's Hospital ofBuenos Aires Buenos Aires, Argentina
References
Case Records of the Massachusetts General Hospital (Case 1-1998).N Engl J Med 1998;338:112-9.
Pseudotumor cerebri. In: Nelson WE, ed. Nelson textbook of pediatrics. 15th ed. Philadelphia: W.B. Saunders, 1996:1735-6.
Weisberg LA, Chutorian AM. Pseudotumor cerebri of childhood. Am J Dis Child 1977;131:1243-1248. [Free Full Text]
Oski FA, ed. Principles and practice of pediatrics. Philadelphia: J.B. Lippincott, 1990:869.
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 oflumbar puncture are usually unremarkable in childhood pseudotumorcerebri. However, the discussion at that point in the Case Record. . . [Full Text of this Article]
References
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