About Pseudotumor Cerebri
Key Highlights
-
Primary goal is to prevent permanent vision loss and blindness.Effectively relieves severe, debilitating headaches associated with high intracranial pressure.Can halt or reverse the swelling of the optic nerve (papilledema).Offers a solution when medications like acetazolamide are ineffective or not tolerated.Procedures like ONSF are often minimally invasive with a relatively focused surgical site.
Who is this surgery for?
- Failure of maximum tolerated medical therapy (e.g., acetazolamide, topiramate) to control symptoms.
- Progressive or severe vision loss or visual field defects threatening permanent blindness.
- Significant, persistent papilledema (optic nerve swelling) despite medical treatment.
- Intolerable side effects from long-term medication use.
- Severe, chronic headaches that significantly impair quality of life and are unresponsive to other treatments.
How to prepare
- Comprehensive pre-operative evaluation including detailed ophthalmologic exams (visual acuity, visual fields, fundoscopy).
- Neuroimaging (MRI or CT) to rule out other causes of intracranial pressure and for surgical planning.
- A diagnostic lumbar puncture to confirm elevated opening pressure.
- Complete blood work and pre-anesthesia assessment to ensure fitness for surgery.
- Discussion with the neurosurgeon about the specific procedure (ONSF vs. shunt), risks, benefits, and expected outcomes.
- Discontinuation of certain medications (like blood thinners) as advised by the medical team.
- Fasting as instructed prior to the surgery.
Risks & possible complications
- Infection at the surgical site or, with shunts, along the tubing path.
- Bleeding during or after the procedure.
- Damage to the optic nerve or surrounding structures, potentially worsening vision.
- For shunt procedures: malfunction, blockage, over-drainage (causing low-pressure headaches), or under-drainage.
- Shunt infection or the need for future shunt revisions.
- CSF leak from the surgical site.
- Anesthesia-related risks.
- Recurrence of symptoms if the procedure is not fully successful.
Recovery & hospital stay
- Initial hospital stay for monitoring neurological status and vision.
- Management of post-operative pain with prescribed medications.
- Keeping the incision site clean and dry to prevent infection.
- Follow-up appointments with both the neurosurgeon and ophthalmologist are critical.
- Gradual return to normal activities, avoiding heavy lifting or strenuous exercise for the recommended period.
- For shunt patients: monitoring for signs of malfunction (recurring headaches, nausea, vision changes) or infection (fever, redness along shunt path).
- Regular visual field tests to assess improvement or stability of vision.
- Long-term management may still involve some medication or lifestyle modifications (like weight management).
-
Typical hospital stay: 2-5 days
-
Expected recovery time: 4-6 weeks for initial recovery; full stabilization may take several months
Frequently Asked Questions
If you are considering pseudotumor cerebri in India, these questions and answers can help you make a confident, informed decision.
Popular choices for pseudotumor cerebri in India include Miot Hospital Chennai, Cytecare Hospital, Kamineni Hospital LB Nagar, Kamineni Hospital, King Koti, Manipal Hospital Old Airport Road, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform pseudotumor cerebri. MediFyr helps you compare neurosurgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for pseudotumor cerebri compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 150 Thousand – 500 Thousand | 2-5 days | ~ 4-6 weeks for initial recovery; full stabilization may take several months | Know More |
| Turkey | TRY 525 Thousand – 1.75 Million | 2-5 days | ~ 4-6 weeks for initial recovery; full stabilization may take several months | Know More |
Top hospitals for Pseudotumor Cerebri in India
These partner hospitals in India have dedicated neurosurgery teams and experience managing patients undergoing pseudotumor cerebri.
Saanvi Ali, a 28-year-old high school...
Saanvi Ali, a 28-year-old high school biology teacher, had always been active and healthy. Over the past six months, she began experiencing debilitating, pulsatile headaches that worsened when she bent over. Her vision would occasionally blur, and she heard a constant 'whooshing' sound in her ears. As an avid reader, she became terrified when she started seeing transient black spots. Her primary care doctor, after noting her recent weight gain, referred her to a neuro-ophthalmologist. A fundoscopic exam revealed severe papilledema, and an MRI/MRV ruled out a brain tumor, leading to a diagnosis of Idiopathic Intracranial Hypertension (Pseudotumor Cerebri). Despite trying high-dose Diamox, her symptoms and vision continued to deteriorate. Her neurosurgeon recommended an elective lumbar-peritoneal shunt to divert cerebrospinal fluid and relieve the pressure. Saanvi was terrified of brain surgery but even more scared of going blind. The procedure went smoothly, though the first few days of recovery were tough with back pain and adjusting the shunt's pressure setting. Within two weeks, the whooshing in her ears stopped and her headaches reduced dramatically. After three months, her papilledema resolved and her vision stabilized. Emotionally, she journeyed from a state of fear and frustration, feeling her body had betrayed her, to profound relief and cautious optimism. She returned to teaching part-time, forever mindful of her health but no longer living in fear of the next headache or vision loss.
Neurosurgeons for Pseudotumor Cerebri
Explore experienced neurosurgeons who regularly perform pseudotumor cerebri and provide pre- and post-operative care in India.
- 18 Years Experience
- Neurosurgeon
Miot Hospital Chennai, Chennai
- 22 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 13 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 10 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 11 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Neurosurgeon
Manipal Hospital Whitefield, Bangalore
- 29 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 21 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 19 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 20 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 17 Years Experience
- Neurosurgeon
Manipal Hospital Patiala, Patiala
- 13 Years Experience
- Neurosurgeon
Manipal Hospital Patiala, Patiala
- 17 Years Experience
- Neurosurgeon
Manipal Hospital Mysore, Mysore
- 15 Years Experience
- Neurosurgeon
Manipal Hospital Vijayawada, vijayawada
- 14 Years Experience
- Neurosurgeon
Manipal Hospital Vijayawada, vijayawada