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Idiopathic Intracranial Hypertension

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Fulminant Idiopathic Intracranial Hypertension.

Marc A Bouffard,

PURPOSE OF REVIEW:The goal of this review is to describe the presenting features of fulminant idiopathic intracranial hypertension (IIH) and outline the multimodal approach to its treatment. RECENT FINDINGS:Venous sinus stenting may be an appropriate alternative to optic nerve sheath fenestration or cerebrospinal fluid shunting in select patients with fulminant ... Read more >>

Curr Neurol Neurosci Rep (Current neurology and neuroscience reports)
[2020, 20(4):8]

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Evaluation of the patients diagnosed as idiopathic intracranial hypertension with and without papilledema visual pathways by analysis of visual evoked potential.

Ayşin Kisabay, Deniz Selcuki, Sinem Zeybek, Melike Batum,

Background: Idiopathic intracranial hypertension (IIH) is a clinical syndrome characterized by increased intracranial pressure in the absence of clinical, laboratory, or radiological findings of space-occupying lesion in the cranium. Papilledema is found in majority of the patients with IIH while it is absent in only about 5-6% of the patients.Methods: ... Read more >>

Int. J. Neurosci. (The International journal of neuroscience)
[2020, :1-8]

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Mortality among patients with idiopathic intracranial hypertension enrolled in the IH Registry.

Sam M Hermes, Nick R Miller, Carin S Waslo, Susan C Benes, Emanuel Tanne,

OBJECTIVE:To determine (1) if mortality among patients with idiopathic intracranial hypertension (IIH) enrolled in the Intracranial Hypertension Registry (IHR) is different from that of the general population of the United States and (2) what the leading underlying causes of death are among this cohort. METHODS:Mortality and underlying causes of death ... Read more >>

Neurology (Neurology)
[2020, :]

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C1 Transverse Process Resection for Management of Jugular Stenosis.

Chanju Fritch, Zoya Voronovich, Andrew P Carlson,

BACKGROUND AND IMPORTANCE:Idiopathic intracranial hypertension, also known as pseudotumor cerebri, often presents with severe headache and associated vision loss. Venous outflow obstruction has been noted as a prominent etiologic factor in many cases, and previous anatomic studies have shown that the internal jugular (IJ) vein at the skull base can ... Read more >>

Oper Neurosurg (Hagerstown) (Operative neurosurgery (Hagerstown, Md.))
[2020, :]

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Benign intracranial hypertension in a patient treated with ustekinumab for psoriasis.

Kevin Phan, Olivia Charlton, Saxon D Smith,

Dermatol Ther (Dermatologic therapy)
[2020, :e13330]

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Idiopathic intracranial hypertension and bariatric surgery: a systematic review

Warren Y. L. Sun, Noah J. Switzer, Jerry T. Dang, Richdeep Gill, Xinzhe Shi, Christopher de Gara, Daniel Birch, Andrew Nataraj, Shahzeer Karmali,

Background:Idiopathic intracranial hypertension (IIH) is a rare condition typically affecting women with obesity who are of child-bearing age. Patients commonly present with headaches, visual disturbances, pulsatile tinnitus and papilledema. The association between IIH and obesity has been well established in the literature, suggesting that weight loss may contribute to improving ... Read more >>

Can J Surg (Canadian journal of surgery. Journal canadien de chirurgie)
[2020, 63(2):E123-E128]

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Magnetic Resonance Imaging Findings of All-Trans Retinoic Acid-induced Pseudotumor Cerebri in a Child With Acute Promyelocytic Leukemia.

Ryota Shirai, Daisuke Tomizawa, Reiko Okamoto, Kimikazu Matsumoto, Osamu Miyazaki,

Pseudotumor cerebri (PTC), also known as idiopathic or benign intracranial hypertension, is characterized by elevated intracranial pressure without any evidence of organic central nervous system disorders. PTC is a rare but well-known adverse event associated with all-trans retinoic acid (ATRA) treatment. Persistent blindness in about 10% of affected patients is ... Read more >>

J. Pediatr. Hematol. Oncol. (Journal of pediatric hematology/oncology)
[2020, 42(2):138-140]

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Unique variant of idiopathic intracranial hypertension dural sinus stenting.

Anthony M Alvarado, Praneeta Nalluri, Andrew M Alvarado, Alan Reeves, Michael G Abraham,

Purpose/Aim of the study: To report on the successful treatment of idiopathic intracranial hypertension (IIH) in a patient with venous sinus stenosis secondary to a persistent occipital-marginal sinus (POMS) utilizing venous sinus stenting.Materials/Methods: A 55-year-old female presented with headaches and blurry vision. Ophthalmologic examination demonstrated papilledema. Two lumbar punctures demonstrated ... Read more >>

Int. J. Neurosci. (The International journal of neuroscience)
[2020, :1-3]

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A Case of Idiopathic Intracranial Hypertension with Bilateral Transverse Sinus Stenosis Treated with Balloon Angioplasty.

Kajari Bhattacharya, Biswajit Paul, Sukalyan Purkayastha,

Neurol India (Neurology India)
[2020, :]

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General Anesthesia Alters Intracranial Venous Pressures during Transverse Sinus Stenting.

Amgad El Mekabaty, Allan Gottschalk, Abhay Moghekar, Emmanuel Obusez, Majid Khan, Charlotte Chung, Alejandro Spiotta, Mark G Luciano, Ferdinand K Hui,

INTRODUCTION:Pressure gradients across venous stenosis are used as a marker for physiologically significant narrowing in idiopathic intracranial hypertension. Performing such measurements under conscious sedation (CS) more likely reflects physiologic conditions, but can be uncomfortable, leading some operators to perform measurement under general anesthesia (GA), though this may not be equivalent. ... Read more >>

World Neurosurg (World neurosurgery)
[2020, :]

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Changes in mean arterial pressure and end-tidal carbon dioxide content affect venous sinus pressures in patients with idiopathic intracranial hypertension: a randomized study.

Christine Tschoe, Rebecca M Garner, Carol Kittel, Justin R Traunero, Stacey Q Wolfe, Kyle M Fargen,

INTRODUCTION:Little is known about how changes in physiologic parameters affect venous sinus pressure measurements, waveforms, or gradients associated with sinus stenosis. OBJECTIVE:To evaluate the effect of changes in cardiovascular and respiratory physiologic parameters on venous sinus pressure and caliber measurements in patients with idiopathic intracranial hypertension (IIH) undergoing venous sinus ... Read more >>

J Neurointerv Surg (Journal of neurointerventional surgery)
[2020, :]

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Lumbar puncture rapidly improves olfaction in patients with idiopathic intracranial hypertension: A cohort study.

Nils J Becker, Sören Enge, Katharina Maria Kreutz, Felix Schmidt, Lutz Harms, Edzard Wiener, Jan Hoffmann, Golo Kronenberg, Hagen Kunte,

BACKGROUND:A lumbar puncture constitutes an important diagnostic procedure in the evaluation of idiopathic intracranial hypertension. Chronic overflow of cerebrospinal fluid into the sheaths of the olfactory nerves appears to be related to olfactory impairment in these patients. Here, we asked whether cerebrospinal fluid drainage in idiopathic intracranial hypertension patients improves ... Read more >>

Cephalalgia (Cephalalgia : an international journal of headache)
[2020, :333102420908875]

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Reply to "Ultrasound evaluation of optic nerve sheath diameter to assess treatment efficacy in pediatric idiopathic intracranial hypertension".

Leman Tekin Orgun, Hatice Tuba Atalay, Ebru Arhan, Kursad Aydın, Ayşe Serdaroğlu,

Childs Nerv Syst (Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery)
[2020, :]

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Sleep Disturbance in Pediatric Intracranial Hypertension.

Alexandra B Kornbluh, Katherine Thompson, Gada Mcmahen, David L Rogers, Catherine O Jordan, Shawn C Aylward, Lenora M Lehwald,

STUDY OBJECTIVES:There is a well-established association between headache disorders and sleep disturbances in children, but it is unknown if sleep disturbance plays a role in pediatric intracranial hypertension. The objective of this study was to examine sleep issues related to pediatric intracranial hypertension. METHODS:Patients with intracranial hypertension who were followed ... Read more >>

J Clin Sleep Med (Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine)
[2020, :]

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Optical coherence tomography of the optic nerve head before and after optic nerve sheath fenestration for idiopathic intracranial hypertension.

Magdy M Shuaib, Gehan M Helmy, Nashwa Badr Eldin, Ayman G Elnahry, Gehad A Elnahry,

Acta Neurol Belg (Acta neurologica Belgica)
[2020, :]

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Coexistence of papilledema and pseudopapilledema after remission of idiopathic intracranial hypertension by bariatric surgery.

Luciano Mesquita Simão, Thaís Nunes Andrade, Ana Flávia Alves de Oliveira E Oliveira, Andressa Guimarães Aguilar Garcez, Raíza Jacometti,

A 37-year-old woman complained of headaches following bilateral visual loss in the past two years. She was obese and had undergone bariatric surgery three months earlier, followed by a considerable weight loss. Neuro-ophthalmic examination revealed a bilateral swollen optic disk. After a computerized analysis of the visual fields and magnetic ... Read more >>

Arq Bras Oftalmol (Arquivos brasileiros de oftalmologia)
[2020, 83(2):157-159]

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Sleep Disturbance in Pediatric Intracranial Hypertension.

Alexandra B Kornbluh, Katherine Thompson, Gada Mcmahen, David L Rogers, Catherine O Jordan, Shawn C Aylward, Lenora M Lehwald,

STUDY OBJECTIVES:There is a well-established association between headache disorders and sleep disturbances in children, but it is unknown if sleep disturbance plays a role in pediatric intracranial hypertension. The objective of this study was to examine sleep issues related to pediatric intracranial hypertension. METHODS:Patients with intracranial hypertension who were followed ... Read more >>

J Clin Sleep Med (Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine)
[2020, :]

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Idiopathic Intracranial Hypertension: The Monster Within.

Aastha Takkar, Vivek Lal,

Idiopathic intracranial hypertension (IIH) is defined as a syndrome of raised intracranial pressure with normal imaging of the brain and cerebrospinal fluid (CSF) composition. There are many controversies and myths that surround IIH. Although patients of IIH may present "typical" symptoms and signs of raised intracranial pressure, clinical scenarios often ... Read more >>

Ann Indian Acad Neurol (Annals of Indian Academy of Neurology)
[2020, 23(2):159-166]

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Surgical outcomes of the endonasal endoscopic approach within a standardized management protocol for repair of spontaneous cerebrospinal fluid rhinorrhea.

Daniel C Kreatsoulas, Varun S Shah, Bradley A Otto, Ricardo L Carrau, Daniel M Prevedello, Douglas A Hardesty,

OBJECTIVE:Spontaneous CSF leaks are rare, their diagnosis is often delayed, and they can precipitate meningitis. Craniotomy is the historical "gold standard" repair for these leaks. An endonasal endoscopic approach (EEA) offers potentially less invasiveness and lower surgical morbidity than a traditional craniotomy but must yield the same surgical success. A ... Read more >>

J. Neurosurg. (Journal of neurosurgery)
[2020, :1-7]

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Myelin oligodendrocyte glycoprotein antibody-associated optic neuritis mimicking pseudotumor cerebri: A case report.

M Cescutti, C Davenas, C Tilikete, F Durand-Dubief, R Marignier, S Vukusic,

Rev. Neurol. (Paris) (Revue neurologique)
[2020, :]

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Sonographic evaluation of optic nerve sheath diameter in idiopathic intracranial hypertension.

Maddalena De Bernardo, Livio Vitiello, Nicola Rosa,

J Clin Neurosci (Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia)
[2020, 73:331-332]

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Superonasal Transconjunctival Optic Nerve Sheath Decompression: A Simplified Technique for Safe and Efficient Decompression.

Andrew T Melson, Jacob D Warmath, Annie Moreau, Bradley K Farris,

BACKGROUND:Severe, permanent vision loss is a feared sequela of untreated or refractory idiopathic intracranial hypertension (IIH). For patients with progressive vision loss despite maximally tolerated medical treatment, optic nerve sheath decompression (ONSD) remains a viable and effective option to protect vision. Our objective is to introduce a modified transconjunctival technique ... Read more >>

J Neuroophthalmol (Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society)
[2020, :]

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Lumboperitoneal and Ventriculoperitoneal Shunting for Idiopathic Intracranial Hypertension Demonstrate Comparable Failure and Complication Rates.

Tej D Azad, Yi Zhang, Kunal Varshneya, Anand Veeravagu, John K Ratliff, Gordon Li,

BACKGROUND:Idiopathic intracranial hypertension results in increased intracranial pressure leading to headache and visual loss. This disease frequently requires surgical intervention through lumboperitoneal (LP) or ventriculoperitoneal (VP) shunting. OBJECTIVE:To compare postoperative outcomes between LP and VP shunts, including failure and complication rates. METHODS:A retrospective analysis was conducted using a national administrative ... Read more >>

Neurosurgery (Neurosurgery)
[2020, 86(2):272-280]

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Ultrasound evaluation of optic nerve sheath diameter to assess treatment efficacy in pediatric idiopathic intracranial hypertension.

Livio Vitiello, Maddalena De Bernardo, Nicola Rosa,

Childs Nerv Syst (Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery)
[2020, :]

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Custom Shunt System for Increased Baseline Intracranial Pressure in a Patient with Idiopathic Intracranial Hypertension.

Alexander T Yahanda, Amar S Shah, Carl Hacker, Syed Hassan Akbari, Salah Keyrouz, Joshua Osbun,

BACKGROUND:Standard treatment of idiopathic intracranial hypertension (IIH) involves reduction of intracranial pressure (ICP) to normal range, often via a ventriculoperitoneal shunt (VPS). We describe a case of a middle-aged man who presented with symptoms consistent with IIH. After ICP was normalized with a VPS, the patient had neurologic deterioration into ... Read more >>

World Neurosurg (World neurosurgery)
[2020, 136:318-322]

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