scholarly journals Multidisciplinary management of idiopathic intracranial hypertension in pregnancy: case series and narrative review

2021 ◽  
Author(s):  
Sara Alves ◽  
Natacha Sousa ◽  
Luísa Cardoso ◽  
Joana Alves
Keyword(s):  
Intracranial Hypertension ◽  
Idiopathic Intracranial Hypertension ◽  
Case Series ◽  
Narrative Review ◽  
Multidisciplinary Management ◽  
Hypertension In Pregnancy ◽  
In Pregnancy

Idiopathic intracranial hypertension in pregnancy

2014 ◽  
Vol 16 (2) ◽  
pp. 93-97 ◽  
Author(s):  
Lakshmi Thirumalaikumar ◽  
Kalaivani Ramalingam ◽  
Tom Heafield
Keyword(s):  
Intracranial Hypertension ◽  
Idiopathic Intracranial Hypertension ◽  
Hypertension In Pregnancy ◽  
In Pregnancy

Management of idiopathic intracranial hypertension in pregnancy

2021 ◽  
pp. 1753495X2110213
Author(s):  
LA Byth ◽  
K Lust ◽  
RL Jeffree ◽  
M Paine ◽  
L Voldanova ◽  
...  
Keyword(s):  
Intracranial Hypertension ◽  
Idiopathic Intracranial Hypertension ◽  
Vision Loss ◽  
De Novo ◽  
Reproductive Age ◽  
Premature Delivery ◽  
Hormonal Changes ◽  
Hypertension In Pregnancy ◽  
Ventriculoperitoneal Shunting ◽  
In Pregnancy

Idiopathic intracranial hypertension is more common among women of reproductive age and is often encountered in pregnancy, either pre-existing and exacerbated by pregnancy-associated weight gain and hormonal changes or arising de novo. We report the case of a 33-year-old woman with progressive visual loss and intractable headache from 20 weeks’ gestation requiring ventriculoperitoneal shunting during pregnancy. The risk of permanent maternal vision loss raises complex management dilemmas, when this must be balanced with the fetal and neonatal risks of treatment and possible premature delivery.

scholarly journals Neurosurgical CSF Diversion in Idiopathic Intracranial Hypertension: A Narrative Review

Life ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 393
Author(s):  
Geraint J. Sunderland ◽  
Michael D. Jenkinson ◽  
Elizabeth J. Conroy ◽  
Carrol Gamble ◽  
Conor L. Mallucci
Keyword(s):  
Intracranial Pressure ◽  
Visual Impairment ◽  
Intracranial Hypertension ◽  
Idiopathic Intracranial Hypertension ◽  
Narrative Review ◽  
Multidisciplinary Management ◽  
Elevated Intracranial Pressure ◽  
Complex Disorder ◽  
Csf Diversion ◽  
Vital Component

The prevalence of idiopathic intracranial hypertension (IIH), a complex disorder, is increasing globally in association with obesity. The IIH syndrome occurs as the result of elevated intracranial pressure, which can cause permanent visual impairment and loss if not adequately managed. CSF diversion via ventriculoperitoneal and lumboperitoneal shunts is a well-established strategy to protect vision in medically refractory cases. Success of CSF diversion is compromised by high rates of complication; including over-drainage, obstruction, and infection. This review outlines currently used techniques and technologies in the management of IIH. Neurosurgical CSF diversion is a vital component of the multidisciplinary management of IIH.

scholarly journals Idiopathic Intracranial Hypertension in Pregnancy Treated with Serial Lumbar Punctures

2011 ◽  
Vol 02 (01) ◽  
pp. 9-12 ◽  
Author(s):  
Manasi Badve ◽  
Matthew J. McConnell ◽  
Tanmay Shah ◽  
Kristin M. Ondecko-Ligda ◽  
George W. Poutous ◽  
...  
Keyword(s):  
Intracranial Hypertension ◽  
Idiopathic Intracranial Hypertension ◽  
Hypertension In Pregnancy ◽  
In Pregnancy

1338 Bariatric Surgery as a Viable Treatment for Idiopathic Intracranial Hypertension: A Case Series

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
V Mahendran ◽  
P Ricart ◽  
M Wadley ◽  
A Perry ◽  
S Robinson
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Intracranial Hypertension ◽  
Idiopathic Intracranial Hypertension ◽  
Case Series ◽  
Radicular Pain ◽  
Csf Pressure ◽  
Disease Modifying Therapy ◽  
Effective Treatment Modality ◽  
Preventable Blindness

Abstract Introduction Idiopathic Intracranial Hypertension (IIH) is a significant cause of preventable blindness. Patients also suffer from debilitating headaches, pulsatile tinnitus, nausea, vomiting, photophobia, and radicular pain. If IIH continues to rise as predicted, treatment cost will increase to 462.7 million GBP annually by 2030. Weight loss is the only proven disease-modifying therapy for reversal of IIH. Bariatric surgery is an attractive treatment option due to superlative weight loss and reversal of related comorbidities. The case series aims to raise awareness of bariatric surgery as a safe and effective treatment modality for IIH. Method The case series consists of a retrospective analysis of four patients with a pre-operative diagnosis of IIH. They were referred to our department for bariatric surgery between January to December 2018. They were followed up for a total of two years. Results In our case series, all four patients were females with a mean age of 34 years. Mean BMI reduced from 47.3 kg/m2 before surgery to 30 kg/m2 with an EWL of 76.4% at the end of two years after surgery. They all showed significant improvement or resolution in their symptoms related to IIH, and none of them required further CSF pressure reducing procedures afterwards. Conclusions Bariatric surgery is a safe and effective method of treating IIH. It is superior compared to medical management and CSF pressure reducing procedures which have high rates of recurrence.

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