Article type:
Teaching Images
Article
title: Intracranial hypertension secondary to levofloxacin-therapy
Journal: Archives
of Medicine and Health Sciences
Year: 2019
Authors: Jamir Pitton Rissardo, Ana LetÃcia Fornari
Caprara
E-mail: jamirrissardo@gmail.com
ABSTRACT
Idiopathic intracranial
hypertension (ICH) is characterized by elevated intracranial pressure without
an evident etiology. Here, we report the case of an adult male who presented
with headache, diplopia, blurred vision, and nausea. The patient stated that he
had searched a general practitioner 1 week ago because he had experienced
cough, dyspnea, and fever. The physician started levofloxacin. On admission,
the patient reported that his respiratory symptoms recovered. However, he
complained about the beginning of neurological symptoms. On neurological
examination, papilledema and unilateral abducens weakness were observed. Brain magnetic resonance imaging showed radiographic features of ICH. A lumbar
puncture had an opening pressure of 50 cmH2O. Levofloxacin was withdrawn, and
acetazolamide 250 mg bid was started. After 2 weeks, the patient had full
recovery of the symptoms, and 4 weeks later, no papilledema was observed.
Keywords: Headache, intracranial hypertension, levofloxacin, quinolones
Full text
available at:
DOI
10.4103/amhs.amhs_118_19
Citation
Rissardo JP, Caprara AL. Intracranial hypertension secondary to levofloxacin-therapy. Arch
Med Health Sci 2019;7:313-6
