Abstract
Although a rare condition generally, we have seen a growing population of idiopathic intracranial hypertension (IIH) patients over the years. We have evolved better management strategies and improved on our options for diagnosis and treatment. These patients all have elevated intracranial pressures (ICP). Symptomatic presentation varies. The possibilities of visual deterioration and blindness drive our therapeutic interventions. When patients have reached the point where their condition is no longer effectively managed by medical means and lifestyle adjustments, we have developed procedural strategies and surgical interventions to assist in the management. We hope to share these in this presentation.
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References
Boulton M, et al. Raised intracranial pressure increases CSF drainage through arachnoid villi and extracranial lymphatics. Am J Physiol. 1998;275:889–96.
Dandy WE, et al. Intracranial pressure without brain tumor diagnosis and treatment. Ann Surg. 1937;106:492–513.
Bateman GA, et al. Association between arterial inflow and venous outflow in idiopathic and secondary intracranial hypertension. J Clin Neurosci. 2006;13:550–7.
Sahs AL, Hyndman OR, et al. Intracranial hypertension of unknown cause: cerebral edema. Arch Surg. 1939;38:428–42.
Bastin ME, et al. Diffuse brain oedema in idiopathic intracranial hypertension: a quantitative magnetic resonance imaging study. J Neurol Neurosurg Psychiatry. 2003;74(12):1693–6.
Wall M. Idiopathic intracranial hypertension. Neurol Clin. 2010;28(3):593–617.
Durcan FJ, et al. The incidence of pseudotumor cerebri. Population studies in Iowa and Louisiana. Arch Neurol. 1988;45:875–7.
Feldon SE. Visual outcomes comparing surgical techniques for management of severe idiopathic intracranial hypertension. Neurosurg Focus. 2007;23(5):E6.
MJ MG, et al. Cerebrospinal fluid shunt placement for pseudotumor cerebri—associated intractable headache: predictors of treatment response and an analysis of long-term outcomes. J Neurosurg. 2004;101:627–32.
Donnet A, et al. Endovascular treatment of idiopathic intracranial hypertension: clinical and radiologic outcome of 10 consecutive patients. Neurology. 2008;70(8):641–7.
Bussière M, et al. Unilateral transverse sinus stenting of patients with idiopathic intracranial hypertension. AJNR Am J Neuroradiol. 2010;31(4):645–50.
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McGregor, J.M. (2019). Surgical Management Strategies for Pseudotumor Cerebri/Idiopathic Intracranial Hypertension. In: Wang, N. (eds) Intraocular and Intracranial Pressure Gradient in Glaucoma. Advances in Visual Science and Eye Diseases, vol 1. Springer, Singapore. https://doi.org/10.1007/978-981-13-2137-5_46
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DOI: https://doi.org/10.1007/978-981-13-2137-5_46
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