A 43 year old woman on Triptorelin presenting with Pseudotumor Cerebri - A Case Report (Journal of Medical Case Reports)

IntroductionTo our knowledge, this is the first time Triptorelin has been reported to cause BIH.Case presentationA 43 years old Caucasian woman who suffered from chronic menorrhagia was commenced on Triptorelin, a gonadotrophin releasing hormone (GnRH) analogue. Three days later, she developed gradually worsening headaches accompanied by bilateral visual disturbances. Examination revealed bilateral papilledema and enlarged blind spots on visual fields. A diagnosis of benign intracranial hypertension (BIH) was made confirmed on MRI scan. Conclusion: We recommend that the high risk patients (female overweight patients of reproductive age group) who are using any GnRH analogue (e.g. Triptorelin) should be periodically monitored for the possible development of BIH.Keywordsbenign intracranial hypertension, pseudotumor cerebri, GnRH analogue, Triptorelin