Idiopathic intracranial hypertension in men

Bruce, Bonnie; Kedar, Sachin; Stavern, Gregory P. Van; Monaghan, Denise; Acierno, Marie D; Braswell, Ronald A.; Preechawat, Pisit; Corbett, James J.; Newman, Nancy J.; Biousse, Valérie

doi:10.1212/01.wnl.0000333254.84120.f5

Cited by 201 publications

(162 citation statements)

References 35 publications

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“…[3] However, less has been reported in men than in women. [6] It does not have a specific by headache or papilledema have been reported. In this paper, an IIH case who applied with blurred vision and diplopia, without accompanying headache will be presented.…”

Section: Discussionmentioning

confidence: 97%

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IDIOPATHIC INTRACRANIAL HYPERTENSION WITHOUT HEADACHE: A CASE REPORT and LITERATURE REVIEW

Eren

Kabataş²,

Yavaşoğlu³

et al. 2017

Agri

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SummaryIn this article, a 23-year-old man who has an idiopathic intracranial hypertension (IIH) case is presented with blurred vision and diplopia, without headaches is reported. Although headache is the most common symptom seen in IIH, sometimes it may not be observed clinically. This situation is defined more in males in young and children and thin patients. Crucial point here is that they are being presented with serious visual evidence, so they must be aggressively treated.Keywords: Headache; idiopathic intrcarial hypertension; men; papil edema. ÖzetBu yazıda başağrısı olmaksızın, bulanık görme ve diplopi ile presente olan, 23 yaşında erkek İdiopatik intrakranial hipertansiyon (İİH) olgusu bildirilmiştir. İHH'de başağrısı en sık görülen semptom olmasına rağmen, bazen klinik olarak görülmeyebilir.Bu durum daha çok erkeklerde gençler özellikle çocuklarda ve zayıf hastalarda tanımlanmıştır. Buradaki önemli nokta bu hastalar ciddi görsel bulgularla presente olmaktadırlar, bu nedenle agresif tedavi edilmelidirler.Anahtar sözcükler: Başağrısı; idiopatik intrakranial hipertansiyon; erkek; papil ödem.

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Section: Discussionmentioning

confidence: 97%

“…They reported that visual symptoms are more serious compared to women. [6] IIH cases without headaches are rather identified in children. In the publications, PTS cases without headaches has been suggested in the rate of 9-38% Lim and et al, have reported higher, around 29%, PTS patients without headaches compared to other publications.…”

Section: Case Reportmentioning

confidence: 99%

IDIOPATHIC INTRACRANIAL HYPERTENSION WITHOUT HEADACHE: A CASE REPORT and LITERATURE REVIEW

Eren

Kabataş²,

Yavaşoğlu³

et al. 2017

Agri

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“…Idiopathic intracranial hypertension among young children has been associated with several new etiologies, including recombinant growth hormone and all-trans retinoic acid. 6,12,15,49 The diagnosis of optic nerve involvement is made using automated perimetry and more recently, optical coherence tomography, laser scanning tomography, and spectral Doppler blood flow analysis of the optic nerve head. More modern neuroimaging techniques such as MR imaging, MR venography, and auto-triggeredelliptic-centric-ordered (ATECO) 3D MR venography are being used to evaluate intracranial processes such as venous sinus thrombosis.…”

Section: Discussionmentioning

confidence: 99%

“…2,3,30,36,37,45 There are several theories proposed to have a direct link between obesity and IIH, through a specific fat distribution in the body or through production of lipokines, while some others have suggested a converse causation with raised ICP actually causing obesity. 3,5,6,12,45 Over the years, venous obstruction has been reported by authors to cause hydrocephalus in babies. These authors include Shulman and Ransohoff, 44 Rosman and Shands, 39 and Bateman et al 3 Likewise, venous outflow obstruction has been implicated in IIH by Karahalios et al, 26 King et al, 27 Owler et al, 32 and Bateman et al 3 With the advent of direct retrograde cerebral venography and venous sinus manometry, as well as studies with simultaneous measurement of CSF pressures, it has been re- ported that CSF pressure can be reduced by relieving a venous sinus obstruction causing venous hypertension of the superior sagittal sinus.…”

Section: 45mentioning

confidence: 99%

Idiopathic intracranial hypertension following spinal deformity surgery in children

Kunes¹,

Thompson²,

Manjila

et al. 2011

FOC

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Idiopathic intracranial hypertension (IIH) after pediatric spinal deformity surgery has not been previously reported. The authors conducted a retrospective analysis of more than 1500 pediatric spinal surgeries performed between 1992 and 2011. From their analysis, they report on 3 adolescent patients who underwent uncomplicated segmental spinal instrumentation for pediatric spinal deformity correction and subsequently developed features of IIH. The common variables in these 3 patients were adolescent age, spinal deformity, being overweight, symptom onset within 2 weeks postoperatively, significant estimated blood loss, and intraoperative use of ε–aminocaproic acid (antifibrinolytic) injection. The authors postulate that the development of IIH could be the result of venous outflow obstruction due to derangement of the epidural venous plexus during surgery. The use of ε–aminocaproic acid could potentially have the risk of causing IIH, probably mediated through hyperfibrinogenemia, although there have not been published cases in the neurosurgical, orthopedic, cardiac, or general surgical literature. Idiopathic intracranial hypertension after spinal deformity correction is a condition that should be recognized by neurosurgeons and orthopedic surgeons, because appropriate intervention with early medical therapy can lead to a satisfactory clinical outcome.

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“…Although it is mostly described as a disease affecting young overweight women, there is an increasing incidence in overweight men and children, parallelto the rising prevalence of obesity. (1,5,6,7) In Romania, according to the latest statistics, 19.1% of the women aged 18 to 44 years are overweight, which is more than twice the value reported in 1980 when the rate of obesity in the general population was only 8.6%. (8) …”

Section: Epidemiologymentioning

confidence: 92%

Optic Neuropathy in Idiopathic Intracranial Hypertension

Merticariu¹,

Baltă²,

Merticariu³

et al. 2017

JTMR

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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). Objectives: This review encompasses the newly revised diagnostic criteria for PTCS in adults and children and the role of obesity in the epidemiology, etiology, and management of IIH.Furthermore, this paper tries to offer a practical approach to assessing patients with papilloedema, the investigations and the subsequent management of patients with IIH. Methodology: PubMed was used to search for IIH and Pseudotumor Cerebri. The vast majority of the literature consisted of cohort studies, case control studies, systematic reviews and other narrative reviews. Conclusion: Idiopathic intracranial hypertension (IIH), also known as primary Pseudotumor Cerebri syndrome (PTCS), is a condition of unknown etiology which affects primarily overweight, reproductive-aged women and causes increased intracranial pressure (ICP). This review discusses the recently revised diagnostic criteria for IIH for adults and children and the controversial issues in its diagnosis and management.

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Idiopathic intracranial hypertension in men

Cited by 201 publications

References 35 publications

IDIOPATHIC INTRACRANIAL HYPERTENSION WITHOUT HEADACHE: A CASE REPORT and LITERATURE REVIEW

IDIOPATHIC INTRACRANIAL HYPERTENSION WITHOUT HEADACHE: A CASE REPORT and LITERATURE REVIEW

Idiopathic intracranial hypertension following spinal deformity surgery in children

Optic Neuropathy in Idiopathic Intracranial Hypertension

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