Idiopathic intracranial hypertension: lumboperitoneal shunts versus ventriculoperitoneal shunts – case series and literature review

2011 ◽  
Vol 25 (1) ◽  
pp. 94-99 ◽  
Author(s):  
Khalid Abubaker ◽  
Zulfiqar Ali ◽  
Kazim Raza ◽  
Ciaran Bolger ◽  
Daniel Rawluk ◽  
...  
Keyword(s):  
Literature Review ◽  
Intracranial Hypertension ◽  
Idiopathic Intracranial Hypertension ◽  
Case Series ◽  
Ventriculoperitoneal Shunts

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.

Idiopathic intracranial hypertension in pediatric population: Case series from India

2013 ◽  
Vol 61 (5) ◽  
pp. 488 ◽  
Author(s):  
ArunGrace Roy ◽  
KollencheriPuthenveettil Vinayan ◽  
Anand Kumar
Keyword(s):  
Intracranial Hypertension ◽  
Idiopathic Intracranial Hypertension ◽  
Pediatric Population ◽  
Case Series

scholarly journals Pediatric Idiopathic Intracranial Hypertension: A not so Rare and Benign Condition

2014 ◽  
Vol 7 (1) ◽  
pp. 5-9
Author(s):  
Manish Modi ◽  
Karan Gupta
Keyword(s):  
Optic Nerve ◽  
Intracranial Hypertension ◽  
Idiopathic Intracranial Hypertension ◽  
Vision Loss ◽  
Fluid Pressure ◽  
Case Series ◽  
Invasive Procedure ◽  
Positive Outcome ◽  
Benign Condition ◽  
Work Up

ABSTRACT Objective Pediatric idiopathic intracranial hypertension is an underdiagnosed entity with catastrophic presentations. High index of suspicion with early diagnosis and prompt treatment is the key to successful management. Trans-nasal trans-sphenoid Endoscopic Optic Nerve Fenestration is an effective surgical modality for the reversal of vision loss in pediatric idiopathic intracranial hypertension (IIH). Materials and methods This is a single center observational prospective case series. Five diagnosed pediatric patients of IIH satisfying the modified Dandy criteria and reported to the out-patient services of otolaryngology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India in the year 2012 were included in this study. All children underwent thorough clinical examination, complete Neuro-ophthalmological work-up including Visual acuity (V/A), Visual field charting (V/F), Fundus venogram and Radiological work-up with MRI for special optic nerve sections in sagittal reconstruction. Cerebro-Spinal Fluid pressure (CSF) measured preoperatively for all children. Standard endoscopic optic nerve Sheath Fenestration was performed on all children. visual improvement was assessed by comparing preoperative ophthalmological findings. Results Improvement in vision was taken as a positive outcome. Vision improved in all except one child, who had pre-existing optic nerve atrophy. Conclusion Endoscopic optic nerve fenestration is an effective minimally invasive procedure to revert visual loss in pediatric idiopathic intracranial hypertension. How to cite this article Gupta AK, Gupta K, Modi M, Gupta A. Pediatric Idiopathic Intracranial Hypertension: A not so Rare and Benign Condition. Clin Rhinol An Int J 2014;7(1):5-9.

scholarly journals Cerebrospinal fluid hydrodynamics in arachnoid cyst patients with persistent idiopathic intracranial hypertension: A case series and review

2020 ◽  
Vol 11 ◽  
pp. 237
Author(s):  
Lena Mary Houlihan ◽  
Charlie Marks
Keyword(s):  
Cerebrospinal Fluid ◽  
Intracranial Hypertension ◽  
Arachnoid Cyst ◽  
Idiopathic Intracranial Hypertension ◽  
Case Series ◽  
Csf Hydrodynamics ◽  
Previously Treated ◽  
Integral Element ◽  
Male Patients ◽  
Cerebrospinal Fluid Hydrodynamics

Background: A clear connection has been established between arachnoid cysts (ACs) and the evolution of idiopathic intracranial hypertension (IIH), a connection, which is presently not well understood. Cerebrospinal fluid (CSF) is an integral element of this condition. Little is known about either the influence of AC on CSF hydrodynamics or the specific nature of CSF, which contributes to the complex pathology of IIH. Case Description: This study aimed to chronicle in detail four patients with previously treated intracranial ACs, who developed persistent IIH. This series and review aims to identify and qualitatively analyze the multiple constituents, which could possibly elucidate the intrinsic relationship between arachnoid cyst-induced IIH and CSF hydrodynamics. A retrospective analysis of the medical records of four patients admitted to the institution’s neurosurgery department during the period of 1994–2013 was completed. This study investigated discernible aspects linking CSF pathophysiology with the development of IIH in AC patients. Four male patients, ranging from 3 to 44 years of age at presentation, had a left-sided arachnoid cyst treated surgically. All four patients subsequently developed IIH. Three patients remain persistently symptomatic. Conclusion: IIH associated with AC is a hydrodynamic disorder. The full discovery of its fluctuant pathophysiology is the only way to identify an effective standard for the management and treatment of this condition.

Hemifacial Spasm as a Rare Clinical Presentation of Idiopathic Intracranial Hypertension: Case Report and Literature Review

2020 ◽  
Vol 129 (8) ◽  
pp. 829-832 ◽  
Author(s):  
Charles B. Poff ◽  
Noga Lipschitz ◽  
Gavriel D. Kohlberg ◽  
Joseph T. Breen ◽  
Ravi N. Samy
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Intracranial Hypertension ◽  
Hemifacial Spasm ◽  
Idiopathic Intracranial Hypertension ◽  
Case Reports ◽  
English Literature ◽  
Anterior Inferior Cerebellar Artery ◽  
First Report ◽  
History Of

Objectives: To report a rare case of idiopathic intracranial hypertension (IIH) presenting with hemifacial spasm (HFS) and review the current literature. Methods: Case report and literature review. The patient’s medical record was reviewed for demographic and clinical data. For literature review, all case reports or other publications published in English literature were identified using PUBMED. Results: A 43-year-old obese female presented with a 2-year history of left HFS. Electroencephalography and head computed tomography were unremarkable. Magnetic resonance imaging demonstrated bilateral anterior inferior cerebellar artery vascular loops involving the internal auditory canals as well as IIH-associated findings. A lumbar puncture was performed and revealed an elevated opening pressure of 26 cm H20 cerebrospinal fluid. Acetazolamide treatment was then initiated, resulting in complete resolution of the HFS. Conclusion: HFS may be a rare presenting manifestation of IIH, and treatment of IIH may result in improvement of HFS symptoms. This is the first report of IIH presenting with HFS in the absence of headache or visual change. As a result, this is the first report of HFS as a presenting manifestation of IIH in Otolaryngology literature.

SPONTANEOUS IMPROVEMENT OF IDIOPATHIC INTRACRANIAL HYPERTENSION DURING PREGNANCY: CASE REPORT AND A SHORT LITERATURE REVIEW

2016 ◽  
Vol 22 (1) ◽  
pp. 56-62
Author(s):  
Goda Randakevičienė ◽  
Rymantė Gleiznienė ◽  
Rūta Nylander ◽  
Evaldas Laurenčikas
Keyword(s):  
Gastric Bypass ◽  
Case Report ◽  
Literature Review ◽  
Intracranial Hypertension ◽  
Idiopathic Intracranial Hypertension ◽  
Spontaneous Improvement

Reikšminiai žodžiai: idiopatinė, intrakranijinė, hipertenzija, nėštumas, nutukimas. Idiopatinė intrakranijinė hipertenzija yra nežinomos kilmės liga, pasireiškianti padidėjusiu intrakranijiniu slėgiu, optinių diskų patinimu, normalia smegenų skysčio sudėtimi ir normaliu neurologiniu tyrimu. Jaunos ir nutukusios vaisingo amžiaus moterys ypač dažnai serga šia patologija. Anksčiau buvo manoma, kad nėštumas yra vienas šios ligos rizikos veiksnių. Šiame straipsnyje mes pristatome jauną, nutukusią moterį, kuri kreipėsi dėl simptomų, susijusių su padidėjusiu intrakranijiniu slėgiu, ir kuriai buvo diagnozuota idiopatinė intrakranijinė hipertenzija. Jai buvo paskirtas medikamentinis gydymas. Pacientei pastojus, gydymas medikamentais buvo nutrauktas dėl galimo teratogeninio poveikio vaisiui. Nepaisant nutraukto gydymo, intrakranijinis slėgis dar sumažėjo, o klinikiniai simptomai pagerėjo. Nėštumas ir gimdymas buvo be komplikacijų. Pacientei ligos simptomai vėl atsinaujino nutraukus laktaciją. Ligonei buvo atlikta skrandžio padalinimo operacija (gastric bypass) dėl nutukimo. Praėjus šešiems mėnesiams po operacijos, pacientės svoris gerokai sumažėjo, simptomai pranyko, o intrakranijinis slėgis sumažėjo iki normalaus. Mūsų žiniomis, spontanškas idiopatinės intrakranijinės hipertenzijos simptomų pagerėjimas nėra anksčiau aprašytas literatūroje. Straipsnyje taip pat pateikiama trumpa literatūros apžvalga šia tema.

scholarly journals Evaluation and management of adult idiopathic intracranial hypertension

2018 ◽  
Vol 18 (6) ◽  
pp. 485-488 ◽  
Author(s):  
Susan P Mollan ◽  
Catherine Hornby ◽  
James Mitchell ◽  
Alexandra J Sinclair
Keyword(s):  
Literature Review ◽  
Intracranial Hypertension ◽  
Acute Exacerbation ◽  
Interest Group ◽  
Systematic Literature Review ◽  
Royal College ◽  
Idiopathic Intracranial Hypertension ◽  
Management Strategies ◽  
Consensus Guidelines ◽  
International Experts

This paper summarises the first consensus guidelines for idiopathic intracranial hypertension as an infographic. Following a systematic literature review, a multidisciplinary specialist interest group met and established questions relating to population, interventions, controls and outcomes (PICO). A survey was sent to doctors who manage idiopathic intracranial hypertension (IIH) regularly. Statements were reviewed by national professional bodies, specifically the Association of British Neurologists, British Association for the Study of Headache, the Society of British Neurological Surgeons and the Royal College of Ophthalmologists and by international experts. Key areas are represented based on the guideline, namely: (1) investigation of papilloedema and diagnosis of IIH; (2) management strategies; and (3) investigation and management of acute exacerbation of headache in established IIH. We present an infographic as an aide-mémoire of the first consensus guidelines for IIH.

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