Headache in patients with idiopathic intracranial hypertension: a pilot study to assess applicability of ICHD-2 diagnostic criteria

D’Amico, Domenico; Curone, Marcella; Faragò, Giuseppe; Mea, Eliana; Tullo, V.; Proietti, Alberto; Marzoli, Stefania Bianchi; Ciasca, Paola; Bussone, Gennaro

doi:10.1007/s10072-012-1065-2

Cited by 11 publications

(8 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Tinnitus in IIH is usually bilateral and pulsatile in nature. It was reported by 51.8% of our patients similar to several studies that found tinnitus in 50-60% of their cases (2,22).…”

Section: Discussionsupporting

confidence: 91%

Demographics, Clinical Characteristics, and Management of Idiopathic Intracranial Hypertension in Kuwait: A Single-Center Experience

et al. 2020

View full text Add to dashboard Cite

Background: Idiopathic intracranial hypertension (IIH) affects predominantly obese females during their reproductive age period. The demographics of this condition has not been studied in Kuwait before. Objectives: To determine the demographics, clinical features, risk factors, and treatment modalities of IIH in the main neurology tertiary referral hospital in Kuwait and to compare our data with literature. Methods: A retrospective study was conducted to identify cases of IIH seen between January 1, 2018, and December 31, 2018. Patients were diagnosed in and referred from the neurology and neuro-ophthalmology clinics. Results: Our cohort consisted of 139 patients. We estimated a crude annual incidence rate of IIH of 3.28 per 100,000 population. Female-to-male ratio was 9.6:1. Mean age was 32.1 ± 10.8 years. Mean age of males was 31.46 ± 12.63 and that of females was 32.11 ± 10.67. The median of the duration from the first symptoms till diagnosis was 6 weeks (2-10 weeks). Headache was the most common symptom in 134 (96.4%) patients, followed by visual disturbances in 85 (61.2%) patients, transient visual obscurations (TVOs) in 84 (60.4%) patients, pulsatile tinnitus in 72 (51.8%) patients, diplopia in 22 (15.8%) patients, other symptoms (e.g., nausea, vomiting, radicular neck, and back pain) in 19 (13.7%) patients, and 1 (0.7%) patient had facial weakness. High body mass index (BMI) was seen in 89.9% of patients, either overweight or obese, and it was the most common risk factors in both males (46.2%) and females (61.1%). Anemia was found in 38.1%; 21.6% of patients used OCPs and 7.9% used vitamin A. Bilateral transverse sinus stenosis (BTSS) was detected in 47 (33.8%) patients. Only 2 (1.4%) patients developed "fulminant IIH" characterized by rapidly progressive disease. All the patients received medical treatment and only 12 (8.6%) needed surgical management. Al-Hashel et al. Idiopathic Intracranial Hypertension in Kuwait Conclusion: Incidence of IIH in Kuwait is similar to other regional studies but higher than Western studies. Demographics and clinical features of IIH in our study are comparable to international and regional figures. Most of our patients had a benign course. IIH is more prevalent in females and strongly associated with obesity.

show abstract

“…Tinnitus in IIH is usually bilateral and pulsatile in nature. It was reported by 51.8% of our patients similar to several studies that found tinnitus in 50-60% of their cases (2,22).…”

Section: Discussionsupporting

confidence: 91%

Demographics, Clinical Characteristics, and Management of Idiopathic Intracranial Hypertension in Kuwait: A Single-Center Experience

et al. 2020

View full text Add to dashboard Cite

show abstract

“…On the other hand, some headache features usually attributed to migraine forms, and which are not among the required criteria for ''Headache attributed to IIH'', were present in some patients: pulsating quality and unilateral distribution of pain in around 20 %; migrainous associated symptoms in more than 40 % of the sample. As discussed in a previous paper [7] these observations may suggest that a migraine-like presentation of headache could be rather common in IIH patients.…”

Section: Discussionsupporting

confidence: 59%

Headache prevalence and clinical features in patients with idiopathic intracranial hypertension (IIH)

D’Amico¹,

Curone²,

Ciasca

et al. 2013

Neurol Sci

Self Cite

View full text Add to dashboard Cite

Headache is a key symptom of idiopathic intracranial hypertension (IIH). Operational diagnostic criteria for ''Headache attributed to IIH'' are included in the international classification of headache disorders, the ICHD-2. The association of IIH with obesity was established by several reports. We investigate the prevalence of headache and its main clinical features in a clinical sample of IIH patients. The possible correlations between the presence of headache and body mass index (BMI) and intracranial pressure (ICP) levels were studied in a consecutive clinical series of patients, in whom diagnosis of IIH was confirmed by exclusion of secondary forms and by the evidence of increased ICP. Differences for age, BMI, and ICP between patients with and without headache and between males and females were assessed with MannWhitney U test. Spearman's correlation analysis was used to assess relationships between age, BMI, and ICP. P value \ 0.05 was used to set statistical significance. 40 patients entered the study (9 males, 31 females; mean age 39, 8 years, SD 13.2). Headache was reported by 75 % patients. Those characteristics which are included in the present international diagnostic criteria for ''Headache attributed to IIH'' were reported by a remarkable proportion of the studied patients, but not by all. On the other hand, some headache features usually attributed to migraine forms, and which are not among the required criteria were present in some patients: pulsating quality and unilateral distribution of pain in around 20 %, and migrainous associated symptoms in more than 40 % of the sample. According to statistical analyses, no differences were found for age, BMI, and ICP between patients with and without headache. Our results confirmed the strong association between headache and IIH. Although no significant correlations between some of the key features of IIH were found in this study, we suggest that further studies on larger series-possibly with a longitudinal evaluation-are needed, to help clinicians in categorizing different subgroups among IIH patients as well as in identifying the main factors influencing the prognosis of this disorder.

show abstract

“… 25–27 Migrainous features are particularly common (>70% of patients). 28 Our practice, particularly in those in whom headache is the principal complaint, is to evaluate the headache phenotype fully and to focus treatment towards the principal headache type. Those with chronic burnt-out disease—typically with stable vision and no or minimal papilloedema—often have the greatest headache disability.…”

Section: Managementmentioning

confidence: 99%

A practical approach to, diagnosis, assessment and management of idiopathic intracranial hypertension

et al. 2014

View full text Add to dashboard Cite

Adult patients who present with papilloedema and symptoms of raised intracranial pressure need urgent multidisciplinary assessment including neuroimaging, to exclude life-threatening causes. Where there is no apparent underlying cause for the raised intracranial pressure, patients are considered to have idiopathic intracranial hypertension (IIH). The incidence of IIH is increasing in line with the global epidemic of obesity. There are controversial issues in its diagnosis and management. This paper gives a practical approach to assessing patients with papilloedema, its investigation and the subsequent management of patients with IIH.

show abstract

Headache in patients with idiopathic intracranial hypertension: a pilot study to assess applicability of ICHD-2 diagnostic criteria

Cited by 11 publications

References 6 publications

Demographics, Clinical Characteristics, and Management of Idiopathic Intracranial Hypertension in Kuwait: A Single-Center Experience

Demographics, Clinical Characteristics, and Management of Idiopathic Intracranial Hypertension in Kuwait: A Single-Center Experience

Headache prevalence and clinical features in patients with idiopathic intracranial hypertension (IIH)

A practical approach to, diagnosis, assessment and management of idiopathic intracranial hypertension

Contact Info

Product

Resources

About