4 pics one word casino chips

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The eye exam is followed by a brain scan, which eliminates the possibility of a tumor. It is of the utmost importance that a brain scan is performed before the next step, the spinal tap, to reduce the real and potentially irreversible effects of rapidly reducing intracranial pressure via spinal tap when a space occupying lesion is inside the skull.

If a tumor is present, and a spinal tap is performed, the reduction of spinal fluid can cause an increase of pressure from the tumor.

The step following the brain scan the spinal tap is not only diagnostic, but also therapeutic because once the cerebrospinal fluid causing the intracranial pressure has been drained, severe headaches are relieved very quickly.

Treatment Options To keep the pressure down, various medications are used such as diuretics like acetazolamide, or Diamox. Corticosteroids are sometimes used to treat IIH but are typically avoided because they may cause weight gain and worsen IIH, and because steroid withdrawal can cause a severe IIH relapse and worsened vision.

To further decrease pressure, weight loss is imperative if this is an issue for the patient. Following the spinal tap, every six months a patient should see her eye doctor to measure the progression of the disease visual field testing.

Other testing options include confocal scanning tomography, a method in which a laser illuminates eye tissue to gather information about pressure, vision loss, and ways of treatment.

Patients resistant to medical therapy, who cannot have follow-up exams, or have previous hypertension issues may be candidates for surgical treatment.

However, such results come at a high risk: Another surgical method is optic nerve sheath fenestration ONSF , which is typically preferable to shunting.

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Diagnosis The disease itself causes increased intracranial pressure by increased amount of blood flow to the brain, a congestion of blood flow to the brain, or an increased amount of cerebrospinal fluid.

Idiopathic IH is diagnosed after an eye exam, neurological exam and brain scan. The eye exam is used to check for swelling of the optic nerve due to pressure from the spinal fluid papilledema.

The eye exam is followed by a brain scan, which eliminates the possibility of a tumor. It is of the utmost importance that a brain scan is performed before the next step, the spinal tap, to reduce the real and potentially irreversible effects of rapidly reducing intracranial pressure via spinal tap when a space occupying lesion is inside the skull.

If a tumor is present, and a spinal tap is performed, the reduction of spinal fluid can cause an increase of pressure from the tumor.

The step following the brain scan the spinal tap is not only diagnostic, but also therapeutic because once the cerebrospinal fluid causing the intracranial pressure has been drained, severe headaches are relieved very quickly.

Treatment Options To keep the pressure down, various medications are used such as diuretics like acetazolamide, or Diamox.

Corticosteroids are sometimes used to treat IIH but are typically avoided because they may cause weight gain and worsen IIH, and because steroid withdrawal can cause a severe IIH relapse and worsened vision.

To further decrease pressure, weight loss is imperative if this is an issue for the patient. Following the spinal tap, every six months a patient should see her eye doctor to measure the progression of the disease visual field testing.

Other testing options include confocal scanning tomography, a method in which a laser illuminates eye tissue to gather information about pressure, vision loss, and ways of treatment.

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