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Thomas J. Carlow, MD
Departments of Neurology and Ophthalmology University of New Mexico Albuquerque, NM 87131

James Corbett, MD
Departments of Neurology and Ophthalmology University of Iowa Iowa City, IA 52242

James Goodwin, MD
Departments of Neurology and Ophthalmology University of Illinois Eye and Ear Infirmary Chicago, IL 60612

Mark Kupersmith, MD
Departments of Neurology and Ophthalmology New York University Medical School New York, NY 10016

Roy J. Meckler, MD
Louisville Neurology Associates 205 E Liberty St Louisville, KY 40202

James Sharpe, MD
Division of Neurology, Playfair Neuroscience Unit, Toronto Western Hospital Departments of Medicine and Ophthalmology University of Toronto Toronto, Ontario, Canada M5S 1A8

Craig H. Smith, MD
Departments of Neurology and Ophthalmology University of Washington Seattle, WA 98195

Michael Wall, MD
Departments of Neurology and Ophthalmology Tulane University School of Medicine New Orleans, LA 70112

Arch Neurol. 1987;44(2):128-129.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—As a group of neuroophthalmologists trained primarily in neurology, we believe that the CONTROVERSIES IN NEUROLOGY—presented in the February 1986 issue of the ARCHIVES—on diagnosis and management of pseudotumor cerebri failed to address the real controversies concerning this disorder.^1,2 We also disagree with the diagnostic methods proposed.

In our opinion, the diagnostic criteria for pseudotumor cerebri do not require continuous monitoring of intracranial pressure. The patient should have signs and/or symptoms of increased intracranial pressure. Results of a neurologic examination should be normal except for signs of increased intracranial pressure. Results from neuroradiologic and other neurodiagnostic examinations should be normal except for elevated cerebrospinal fluid (CSF) pressure. Results of an evaluation for other causes of elevated intracranial pressure should be negative.

Harold J. Hoffman, MD, FRCS(C),¹ suggests that the diagnosis be made by monitoring intracranial pressure by inserting a catheter into the . . . [Full Text PDF of this Article]

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