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Treatment must be directed at the condition causing the pseudotumor. An initial lumbar puncture is both diagnostic and therapeutic. Repeated lumbar punctures may be done to decrease the intracranial pressure and to help prevent progressive papilledema and visual loss. Other treatments may include:
- Fluid or salt restriction.
- Medications such as corticosteroids, glycerol, acetazolamide, and furosemide.
- Shunting procedures to relieve pressure due to spinal fluid retention.
- Incision of the optic nerve sheath for relief of the papilledema, and to prevent further deterioration of vision.
- Weight loss.
- Close monitoring of vision, since there is potential for progressive and sometimes permanent visual loss.
- Follow-up MRI or CT scan to exclude hidden malignancy (cancer).
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