Ventriculo-peritoneal shunting is a safe and effective treatment for idiopathic intracranial hypertension

Bjornson, Anna; Tapply, Ian; Nabbanja, Eva; Lalou, Afroditi D; Czosnyka, Marek; Czosnyka, Zofia; Muthusamy, Brinda; Garnett, Matthew

doi:10.1080/02688697.2018.1538478

Cited by 22 publications

(21 citation statements)

References 26 publications

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“…In our study, the most frequent clinical signs are headaches and decrease of visual acuity, as reported by many authors. 1,4,12,13 The main neuroimaging findings that may accompany IIH are empty sella (70%), distension (45%), and tortuosity (40%) of the perioptic subarachnoid space, flattening of the posterior sclera (80%), and protrusion of optic nerve papillae into the vitreous and transverse sinus stenosis (90%). 5,14,15 IIH corresponds an increased ICP of unknown cause (thereby excluding secondary intracranial hypertension).…”

Section: Discussionmentioning

confidence: 99%

“…Idiopathic intracranial hypertension (IIH),was first described by Quincke in 1893 after the introduction of the lumbar puncture. [1][2][3][4][5] It was also called pseudotumor cerebri by Nonne in 1904 or benign intracranial hypertension by Foley in 1955. 1,2,4 The first series was reported by Dandy in 1937.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3][4][5] It was also called pseudotumor cerebri by Nonne in 1904 or benign intracranial hypertension by Foley in 1955. 1,2,4 The first series was reported by Dandy in 1937. 2,6 The annual incidence of IIH is 1 to 3 per 100,000 in the general population.…”

Section: Introductionmentioning

confidence: 99%

“…It is elevated to 20 per 10,000 among the female population of childbearing age. 1,7 The etiology of IIH is not completely understood; however, female sex, obesity, endocrine disorders, and high-levels of vitamin A are risk factors incriminated. 4,8 The IIH is characterized by elevation of intracranial pressure (ICP) in the absence of intracerebral space occupation or venous sinus thrombosis.…”

Section: Introductionmentioning

confidence: 99%

“…IIH leads to permanent vision loss and refractory headaches that had failed medical management. 1 It is a therapeutic emergency to preserve vision and reduce other symptoms. 1,3,4 The aim of our study was to assess the clinical and therapeutic aspects of the idiopathic intracranial hypertension in our department.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Management of Idiopathic Intracranial Hypertension: Experience of a North African Center

Aliyu

Mahdia

Adamou

et al. 2020

Indian Journal of Neurosurgery

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Background The idiopathic intracranial hypertension (IIH) is characterized by elevation of intracranial pressure (ICP) in the absence of intracerebral space occupation or venous sinus thrombosis. It usually occurs in obese young women but is very rare in childhood. Materials and Methods We conducted a retrospective study in the neurosurgical department of Bab El Oued teaching hospital of Algiers over a period of 8 years from January 2008 to December 2015. We analyzed clinical data of 10 patients with IIH diagnosis, and the surgical technique consisted of an insertion of a lumbo-peritoneal shunt. Results In our study, 80% were women with sex ratio M/F of 0.25; the mean age was 32 years and 60% of our patients were obese. For most of our patients, the postoperative outcome was marked by the disappearance of the headache immediately, disappearance of strabismus and diplopia in the following week, followed by improvement of visual function. Conclusion The IIH is predominantly a disease of women in the childbearing age; surgical treatment is a good option for patients who resisted medication or did not tolerate it as well as for ICH fulminous in emergency cases.

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