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May 10, 1976

Pseudotumor Cerebri: A Complication of Parenteral Hyperalimentation

Author Affiliations

From the Division of Neurology, St Vincent Hospital and the University of Massachusetts Medical School (Drs Saxena and Murphy), and the Department of Gastroenterology, Fallon Clinic (Dr Heilpern), Worcester, Mass.

JAMA. 1976;235(19):2124. doi:10.1001/jama.1976.03260450036028

SINCE THE advent of intravenous hyperalimentation through the subclavian vein, a number of complications have come to light. Pseudotumor cerebri developed in a 19-year-old woman as a result of thrombosis of the internal jugular vein and left transverse sinus. This was treated successfully with steroids and anticoagulants.

Report of a Case  A 19-year-old woman was admitted with complaints of lower-abdominal cramping pain and intermittent, nonbloody diarrhea for one year. Six weeks prior to admission, she had noticed an enlarging mass in the right lower quadrant, and during this period she lost 11.4 kg.She was pale, slightly emaciated, and dehydrated, and in moderate distress. Her pulse rate was 100 beats per minute and regular, and her temperature was 38.6 C. A 6×5-cm, ill-defined, nonfluctuant, tender mass was palpable in the right lower quadrant. The liver and spleen were not palpable and there were no other intra-abdominal masses. There was tenderness