SlideShare a Scribd company logo
1 of 53
BENIGN INTRACRANIAL HYPERTENSION   Dr.Syed Alam Zeb Presentor PoF Hospitals
CASE HISTORY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Case history cont. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CT SCANS
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
BIH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
NORMAL OPTIC DISC
PAPILLOEDEMA
PATHOPHYSIOLOGY ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],PATHOPHYSIOLOGY CONT.
PATHOPHYSIOLOGY CONT. ,[object Object],[object Object],[object Object]
CAUSES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
1.OCCLUSION OF DURAL SINUSES ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
INCIDENCE ,[object Object],[object Object],[object Object]
Mortality/Morbidity ,[object Object],[object Object],[object Object]
SIGNS & SYMPTOMS ,[object Object]
Signs/Symptoms cont. ,[object Object]
PHYSICAL EXAMINATION ,[object Object],[object Object],[object Object],[object Object]
PAPILLOEDEMA
Physical exam. Cont. ,[object Object],[object Object],[object Object],[object Object]
Physical Exam. Cont ,[object Object],[object Object],[object Object]
 
 
DIFFERENTIALS ,[object Object]
Differentials cont. ,[object Object],[object Object]
WORK UP ,[object Object],[object Object],[object Object],[object Object]
 
 
 
 
Work up cont. ,[object Object],[object Object],[object Object]
 
LUMBAR PUNCTURE
Lumbar Puncture ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],TREATMENT
[object Object],[object Object],[object Object],[object Object]
TREATMENT ,[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment cont. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment cont. ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]

More Related Content

What's hot

The patient with diplopia
The patient with diplopia  The patient with diplopia
The patient with diplopia siraj safi
 
Orbital Apex Syndrome
Orbital Apex SyndromeOrbital Apex Syndrome
Orbital Apex SyndromeSahil Thakur
 
Idiopathic intracranial hypertension
Idiopathic intracranial hypertensionIdiopathic intracranial hypertension
Idiopathic intracranial hypertensionIrfaan Shah
 
Idiopathic Intracranial Hypertension
Idiopathic Intracranial Hypertension Idiopathic Intracranial Hypertension
Idiopathic Intracranial Hypertension Ade Wijaya
 
neovascular glaucoma
neovascular glaucomaneovascular glaucoma
neovascular glaucomaSSSIHMS-PG
 
Papilloedema presentation1
Papilloedema presentation1Papilloedema presentation1
Papilloedema presentation1shovon2026
 
THYROID EYE DISEASE
THYROID EYE DISEASETHYROID EYE DISEASE
THYROID EYE DISEASESSSIHMS-PG
 
Idiopathic intracranial hypertension
Idiopathic intracranial hypertensionIdiopathic intracranial hypertension
Idiopathic intracranial hypertensionShruti Shirke
 
Orbital apex syndrome
Orbital apex syndromeOrbital apex syndrome
Orbital apex syndromeReshma Peter
 
Refractory Diabetic Macular Edema - A Case Report
Refractory Diabetic Macular Edema - A Case ReportRefractory Diabetic Macular Edema - A Case Report
Refractory Diabetic Macular Edema - A Case ReportDr. Shah Noor Hassan
 
Papilloedema
PapilloedemaPapilloedema
Papilloedemanishass3
 
Approach to vision loss
Approach to vision lossApproach to vision loss
Approach to vision lossNeurologyKota
 
False localising signs : a major examination finding
False localising signs : a major examination findingFalse localising signs : a major examination finding
False localising signs : a major examination findingChetan Ganteppanavar
 

What's hot (20)

The patient with diplopia
The patient with diplopia  The patient with diplopia
The patient with diplopia
 
Posner schlossmann syndrome
Posner schlossmann syndromePosner schlossmann syndrome
Posner schlossmann syndrome
 
Orbital Apex Syndrome
Orbital Apex SyndromeOrbital Apex Syndrome
Orbital Apex Syndrome
 
Idiopathic intracranial hypertension
Idiopathic intracranial hypertensionIdiopathic intracranial hypertension
Idiopathic intracranial hypertension
 
Idiopathic Intracranial Hypertension
Idiopathic Intracranial Hypertension Idiopathic Intracranial Hypertension
Idiopathic Intracranial Hypertension
 
Gaze palsy
Gaze palsyGaze palsy
Gaze palsy
 
Optic atrophy (b)
Optic atrophy (b)Optic atrophy (b)
Optic atrophy (b)
 
neovascular glaucoma
neovascular glaucomaneovascular glaucoma
neovascular glaucoma
 
Sturge weber syndrome
Sturge weber syndromeSturge weber syndrome
Sturge weber syndrome
 
Papilloedema presentation1
Papilloedema presentation1Papilloedema presentation1
Papilloedema presentation1
 
THYROID EYE DISEASE
THYROID EYE DISEASETHYROID EYE DISEASE
THYROID EYE DISEASE
 
Thyroid eye disease
Thyroid eye  disease Thyroid eye  disease
Thyroid eye disease
 
Malignant Glaucoma
Malignant GlaucomaMalignant Glaucoma
Malignant Glaucoma
 
Idiopathic intracranial hypertension
Idiopathic intracranial hypertensionIdiopathic intracranial hypertension
Idiopathic intracranial hypertension
 
Orbital apex syndrome
Orbital apex syndromeOrbital apex syndrome
Orbital apex syndrome
 
Refractory Diabetic Macular Edema - A Case Report
Refractory Diabetic Macular Edema - A Case ReportRefractory Diabetic Macular Edema - A Case Report
Refractory Diabetic Macular Edema - A Case Report
 
Coloboma
ColobomaColoboma
Coloboma
 
Papilloedema
PapilloedemaPapilloedema
Papilloedema
 
Approach to vision loss
Approach to vision lossApproach to vision loss
Approach to vision loss
 
False localising signs : a major examination finding
False localising signs : a major examination findingFalse localising signs : a major examination finding
False localising signs : a major examination finding
 

Viewers also liked

Management of pseudotumor cerebri
Management of pseudotumor cerebriManagement of pseudotumor cerebri
Management of pseudotumor cerebriahmedbakhshmalik
 
Neuroradiology of idopathic Intracranial Hypertension
Neuroradiology of idopathic Intracranial HypertensionNeuroradiology of idopathic Intracranial Hypertension
Neuroradiology of idopathic Intracranial HypertensionRoopchand Ps
 
Idiopathic intracranial hypertension
Idiopathic intracranial hypertensionIdiopathic intracranial hypertension
Idiopathic intracranial hypertensionMQ_Library
 
Increased intracranial pressure
Increased intracranial pressureIncreased intracranial pressure
Increased intracranial pressureRami Abu Saleh
 
Microsurgical anatomy of lateral ventricles
Microsurgical anatomy of lateral ventriclesMicrosurgical anatomy of lateral ventricles
Microsurgical anatomy of lateral ventriclespankaj patel
 
MRI Black Powder Review
MRI Black Powder ReviewMRI Black Powder Review
MRI Black Powder ReviewJeffrey Young
 
Noonan syndrome
Noonan syndromeNoonan syndrome
Noonan syndromeArun Raj
 
down syndrome and klinefelters syndrome
down syndrome and klinefelters syndromedown syndrome and klinefelters syndrome
down syndrome and klinefelters syndromemadhursejwal
 
Evaluation and Management of Macular Holes
Evaluation and Management of Macular HolesEvaluation and Management of Macular Holes
Evaluation and Management of Macular Holespersonalp
 
Pathomorhology
PathomorhologyPathomorhology
PathomorhologyRaj Twix
 

Viewers also liked (20)

Management of pseudotumor cerebri
Management of pseudotumor cerebriManagement of pseudotumor cerebri
Management of pseudotumor cerebri
 
Pseudotumor cerebral
Pseudotumor cerebralPseudotumor cerebral
Pseudotumor cerebral
 
Neuroradiology of idopathic Intracranial Hypertension
Neuroradiology of idopathic Intracranial HypertensionNeuroradiology of idopathic Intracranial Hypertension
Neuroradiology of idopathic Intracranial Hypertension
 
Idiopathic intracranial hypertension
Idiopathic intracranial hypertensionIdiopathic intracranial hypertension
Idiopathic intracranial hypertension
 
Increased intracranial pressure
Increased intracranial pressureIncreased intracranial pressure
Increased intracranial pressure
 
Atherosclerosis
AtherosclerosisAtherosclerosis
Atherosclerosis
 
Neurology Potpourri
Neurology PotpourriNeurology Potpourri
Neurology Potpourri
 
Pappiloedema as a mrker for raised icp in head injury
Pappiloedema as a mrker for raised icp in head injuryPappiloedema as a mrker for raised icp in head injury
Pappiloedema as a mrker for raised icp in head injury
 
Idiopathic Intracranial Hypertension
Idiopathic Intracranial HypertensionIdiopathic Intracranial Hypertension
Idiopathic Intracranial Hypertension
 
Microsurgical anatomy of lateral ventricles
Microsurgical anatomy of lateral ventriclesMicrosurgical anatomy of lateral ventricles
Microsurgical anatomy of lateral ventricles
 
MRI Black Powder Review
MRI Black Powder ReviewMRI Black Powder Review
MRI Black Powder Review
 
Noonan syndrome
Noonan syndromeNoonan syndrome
Noonan syndrome
 
BLOOD SUPPLY OF VISUAL PATHWAY
BLOOD SUPPLY OF VISUAL PATHWAYBLOOD SUPPLY OF VISUAL PATHWAY
BLOOD SUPPLY OF VISUAL PATHWAY
 
down syndrome and klinefelters syndrome
down syndrome and klinefelters syndromedown syndrome and klinefelters syndrome
down syndrome and klinefelters syndrome
 
Evaluation and Management of Macular Holes
Evaluation and Management of Macular HolesEvaluation and Management of Macular Holes
Evaluation and Management of Macular Holes
 
Noonan syndrome
Noonan syndromeNoonan syndrome
Noonan syndrome
 
Prader willis Syndrome
Prader willis SyndromePrader willis Syndrome
Prader willis Syndrome
 
Pathomorhology
PathomorhologyPathomorhology
Pathomorhology
 
Optic Nerve
Optic NerveOptic Nerve
Optic Nerve
 
Hess chart
Hess chartHess chart
Hess chart
 

Similar to Benign intracranial hypertension by Dr.Syed Alam Zeb

POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME (PRES).pptx
POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME (PRES).pptxPOSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME (PRES).pptx
POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME (PRES).pptxGopiKrishnanR11
 
Intracranial hypertensionorhypertension.pptx
Intracranial hypertensionorhypertension.pptxIntracranial hypertensionorhypertension.pptx
Intracranial hypertensionorhypertension.pptxzamahamch43
 
IIH BY DR DINESH.pptx sms hospital jaipur rajasthan
IIH BY DR DINESH.pptx sms hospital jaipur rajasthanIIH BY DR DINESH.pptx sms hospital jaipur rajasthan
IIH BY DR DINESH.pptx sms hospital jaipur rajasthandineshdandia
 
Dr.Amit Anand Cerebral Venous Thrombosis.pptx
Dr.Amit Anand Cerebral Venous Thrombosis.pptxDr.Amit Anand Cerebral Venous Thrombosis.pptx
Dr.Amit Anand Cerebral Venous Thrombosis.pptxdramit13
 
Frontal syndrome and mid-brain lesion
Frontal syndrome and mid-brain lesionFrontal syndrome and mid-brain lesion
Frontal syndrome and mid-brain lesionRichard Brown
 
Swollen optic nerve_presentation_last_revision 103112 disregard all others
Swollen optic nerve_presentation_last_revision 103112 disregard all othersSwollen optic nerve_presentation_last_revision 103112 disregard all others
Swollen optic nerve_presentation_last_revision 103112 disregard all othersArash Eslami
 
Case presentation of a swollen optic disc
Case presentation of a swollen optic discCase presentation of a swollen optic disc
Case presentation of a swollen optic discArash Eslami
 
Iih ppt new 18.3.2020
Iih ppt new 18.3.2020Iih ppt new 18.3.2020
Iih ppt new 18.3.2020kyawzawlynn1
 
Swollen optic nerve_presentation_last_revision 103112 disregard all others
Swollen optic nerve_presentation_last_revision 103112 disregard all othersSwollen optic nerve_presentation_last_revision 103112 disregard all others
Swollen optic nerve_presentation_last_revision 103112 disregard all othersArash Eslami
 
Birth trauma & Intracranial haemorhhage
Birth trauma & Intracranial haemorhhageBirth trauma & Intracranial haemorhhage
Birth trauma & Intracranial haemorhhageSoumalya Kundu
 
Endocrinology -pituitary gland
Endocrinology -pituitary glandEndocrinology -pituitary gland
Endocrinology -pituitary glandLih Yin Chong
 
Cerebral venous sinus thrombosis by aminu arzet
Cerebral venous sinus thrombosis by aminu arzetCerebral venous sinus thrombosis by aminu arzet
Cerebral venous sinus thrombosis by aminu arzetAminuArzet
 
Congenital rubella syndrome
Congenital rubella syndrome Congenital rubella syndrome
Congenital rubella syndrome Geetha Rajendran
 
Approach to stupor and coma
Approach to stupor and comaApproach to stupor and coma
Approach to stupor and comaSachin Adukia
 

Similar to Benign intracranial hypertension by Dr.Syed Alam Zeb (20)

POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME (PRES).pptx
POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME (PRES).pptxPOSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME (PRES).pptx
POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME (PRES).pptx
 
Intracranial hypertensionorhypertension.pptx
Intracranial hypertensionorhypertension.pptxIntracranial hypertensionorhypertension.pptx
Intracranial hypertensionorhypertension.pptx
 
IIH BY DR DINESH.pptx sms hospital jaipur rajasthan
IIH BY DR DINESH.pptx sms hospital jaipur rajasthanIIH BY DR DINESH.pptx sms hospital jaipur rajasthan
IIH BY DR DINESH.pptx sms hospital jaipur rajasthan
 
Dr.Amit Anand Cerebral Venous Thrombosis.pptx
Dr.Amit Anand Cerebral Venous Thrombosis.pptxDr.Amit Anand Cerebral Venous Thrombosis.pptx
Dr.Amit Anand Cerebral Venous Thrombosis.pptx
 
GROUP B PAPILLEDEMA.pptx
GROUP B PAPILLEDEMA.pptxGROUP B PAPILLEDEMA.pptx
GROUP B PAPILLEDEMA.pptx
 
Frontal syndrome and mid-brain lesion
Frontal syndrome and mid-brain lesionFrontal syndrome and mid-brain lesion
Frontal syndrome and mid-brain lesion
 
Swollen optic nerve_presentation_last_revision 103112 disregard all others
Swollen optic nerve_presentation_last_revision 103112 disregard all othersSwollen optic nerve_presentation_last_revision 103112 disregard all others
Swollen optic nerve_presentation_last_revision 103112 disregard all others
 
A Case of Cortical Venous Thrombosis
A Case of Cortical Venous ThrombosisA Case of Cortical Venous Thrombosis
A Case of Cortical Venous Thrombosis
 
5. papilloedema
5. papilloedema5. papilloedema
5. papilloedema
 
Case presentation of a swollen optic disc
Case presentation of a swollen optic discCase presentation of a swollen optic disc
Case presentation of a swollen optic disc
 
headaches.pptx
headaches.pptxheadaches.pptx
headaches.pptx
 
Iih ppt new 18.3.2020
Iih ppt new 18.3.2020Iih ppt new 18.3.2020
Iih ppt new 18.3.2020
 
Swollen optic nerve_presentation_last_revision 103112 disregard all others
Swollen optic nerve_presentation_last_revision 103112 disregard all othersSwollen optic nerve_presentation_last_revision 103112 disregard all others
Swollen optic nerve_presentation_last_revision 103112 disregard all others
 
Birth trauma & Intracranial haemorhhage
Birth trauma & Intracranial haemorhhageBirth trauma & Intracranial haemorhhage
Birth trauma & Intracranial haemorhhage
 
Optic disc swelling
Optic disc swellingOptic disc swelling
Optic disc swelling
 
150 Pseudotumor cerebri
150 Pseudotumor cerebri150 Pseudotumor cerebri
150 Pseudotumor cerebri
 
Endocrinology -pituitary gland
Endocrinology -pituitary glandEndocrinology -pituitary gland
Endocrinology -pituitary gland
 
Cerebral venous sinus thrombosis by aminu arzet
Cerebral venous sinus thrombosis by aminu arzetCerebral venous sinus thrombosis by aminu arzet
Cerebral venous sinus thrombosis by aminu arzet
 
Congenital rubella syndrome
Congenital rubella syndrome Congenital rubella syndrome
Congenital rubella syndrome
 
Approach to stupor and coma
Approach to stupor and comaApproach to stupor and coma
Approach to stupor and coma
 

More from Syed Alam Zeb

Blood transfusion By Dr.Syed Alam Zeb
Blood transfusion By Dr.Syed Alam ZebBlood transfusion By Dr.Syed Alam Zeb
Blood transfusion By Dr.Syed Alam ZebSyed Alam Zeb
 
Bone and joint infection. Syed alam Zeb
Bone and joint infection. Syed alam ZebBone and joint infection. Syed alam Zeb
Bone and joint infection. Syed alam ZebSyed Alam Zeb
 
Haemorrhage by Dr.Syed Alam Zeb
Haemorrhage by Dr.Syed Alam ZebHaemorrhage by Dr.Syed Alam Zeb
Haemorrhage by Dr.Syed Alam ZebSyed Alam Zeb
 
Cysts by Dr. Syed Alam Zeb
Cysts by Dr. Syed Alam ZebCysts by Dr. Syed Alam Zeb
Cysts by Dr. Syed Alam ZebSyed Alam Zeb
 
Shock, Dr.Syed Alam Zeb
Shock, Dr.Syed Alam ZebShock, Dr.Syed Alam Zeb
Shock, Dr.Syed Alam ZebSyed Alam Zeb
 
Treatment of breast cancer by Dr.Syed Alam Zeb
Treatment of breast cancer by Dr.Syed Alam ZebTreatment of breast cancer by Dr.Syed Alam Zeb
Treatment of breast cancer by Dr.Syed Alam ZebSyed Alam Zeb
 
Neck swelling , Syed Alam Zeb
Neck swelling , Syed Alam ZebNeck swelling , Syed Alam Zeb
Neck swelling , Syed Alam ZebSyed Alam Zeb
 
Fractures, Syed Alam Zeb
Fractures, Syed Alam ZebFractures, Syed Alam Zeb
Fractures, Syed Alam ZebSyed Alam Zeb
 
Acute abdomen by Syed Alam Zeb
Acute abdomen by Syed Alam ZebAcute abdomen by Syed Alam Zeb
Acute abdomen by Syed Alam ZebSyed Alam Zeb
 
Preoperative preparations by Dr.Syed Alam Zeb
Preoperative preparations by Dr.Syed Alam ZebPreoperative preparations by Dr.Syed Alam Zeb
Preoperative preparations by Dr.Syed Alam ZebSyed Alam Zeb
 
Salivary gland diseases , Dr.Syed Alam Zeb
Salivary gland  diseases , Dr.Syed Alam ZebSalivary gland  diseases , Dr.Syed Alam Zeb
Salivary gland diseases , Dr.Syed Alam ZebSyed Alam Zeb
 
Bone and joint infection by Dr.Syed Alam Zeb
Bone and joint infection by Dr.Syed Alam ZebBone and joint infection by Dr.Syed Alam Zeb
Bone and joint infection by Dr.Syed Alam ZebSyed Alam Zeb
 

More from Syed Alam Zeb (13)

Blood transfusion By Dr.Syed Alam Zeb
Blood transfusion By Dr.Syed Alam ZebBlood transfusion By Dr.Syed Alam Zeb
Blood transfusion By Dr.Syed Alam Zeb
 
Bone and joint infection. Syed alam Zeb
Bone and joint infection. Syed alam ZebBone and joint infection. Syed alam Zeb
Bone and joint infection. Syed alam Zeb
 
Haemorrhage by Dr.Syed Alam Zeb
Haemorrhage by Dr.Syed Alam ZebHaemorrhage by Dr.Syed Alam Zeb
Haemorrhage by Dr.Syed Alam Zeb
 
Cysts by Dr. Syed Alam Zeb
Cysts by Dr. Syed Alam ZebCysts by Dr. Syed Alam Zeb
Cysts by Dr. Syed Alam Zeb
 
Shock, Dr.Syed Alam Zeb
Shock, Dr.Syed Alam ZebShock, Dr.Syed Alam Zeb
Shock, Dr.Syed Alam Zeb
 
Treatment of breast cancer by Dr.Syed Alam Zeb
Treatment of breast cancer by Dr.Syed Alam ZebTreatment of breast cancer by Dr.Syed Alam Zeb
Treatment of breast cancer by Dr.Syed Alam Zeb
 
Neck swelling , Syed Alam Zeb
Neck swelling , Syed Alam ZebNeck swelling , Syed Alam Zeb
Neck swelling , Syed Alam Zeb
 
Fractures, Syed Alam Zeb
Fractures, Syed Alam ZebFractures, Syed Alam Zeb
Fractures, Syed Alam Zeb
 
Acute abdomen by Syed Alam Zeb
Acute abdomen by Syed Alam ZebAcute abdomen by Syed Alam Zeb
Acute abdomen by Syed Alam Zeb
 
Preoperative preparations by Dr.Syed Alam Zeb
Preoperative preparations by Dr.Syed Alam ZebPreoperative preparations by Dr.Syed Alam Zeb
Preoperative preparations by Dr.Syed Alam Zeb
 
Salivary gland diseases , Dr.Syed Alam Zeb
Salivary gland  diseases , Dr.Syed Alam ZebSalivary gland  diseases , Dr.Syed Alam Zeb
Salivary gland diseases , Dr.Syed Alam Zeb
 
Dr.Syed Alam Zeb cv
Dr.Syed Alam Zeb cvDr.Syed Alam Zeb cv
Dr.Syed Alam Zeb cv
 
Bone and joint infection by Dr.Syed Alam Zeb
Bone and joint infection by Dr.Syed Alam ZebBone and joint infection by Dr.Syed Alam Zeb
Bone and joint infection by Dr.Syed Alam Zeb
 

Recently uploaded

The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...chandars293
 
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...chetankumar9855
 
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableCall Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableJanvi Singh
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...parulsinha
 
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...GENUINE ESCORT AGENCY
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...Arohi Goyal
 
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...tanya dube
 
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service AvailableGENUINE ESCORT AGENCY
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Ishani Gupta
 
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...BhumiSaxena1
 
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...hotbabesbook
 
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...chennailover
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Dipal Arora
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426jennyeacort
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...parulsinha
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...aartirawatdelhi
 
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...mahaiklolahd
 
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Sheetaleventcompany
 
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In AhmedabadGENUINE ESCORT AGENCY
 

Recently uploaded (20)

The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
 
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
 
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableCall Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
 
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
 
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
 
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
 
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...
 
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
 
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
 
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
 

Benign intracranial hypertension by Dr.Syed Alam Zeb