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Epidemiology and risk factors for idiopathic intracranial hypertension
Journal article   Open access   Peer reviewed

Epidemiology and risk factors for idiopathic intracranial hypertension

John Chen and Michael Wall
International Ophthalmology Clinics, Vol.54(1), pp.1-11
2014
DOI: 10.1097/IIO.0b013e3182aabf11
PMCID: PMC3864361
PMID: 24296367

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Abstract

Idiopathic intracranial hypertension (IIH) is a syndrome characterized by elevated intracranial pressure that usually occurs in obese women in the childbearing years. The signs and symptoms of intracranial hypertension are that the patient maintains an alert and oriented mental state, but has no localizing neurologic findings. There is no evidence of deformity or obstruction of the ventricular system and neurodiagnostic studies are otherwise normal except for increased cerebrospinal fluid pressure.1 Neuroimaging signs of increased intracranial pressure include empty sella syndrome, smooth-walled venous stenoses, flattened globes and fully unfolded optic nerve sheaths. In addition, no secondary cause of intracranial hypertension can be found. This definition comprises the modified Dandy criteria for IIH.2 There is considerable literature on IIH epidemiology, risk factors and secondary causes of intracranial hypertension. In this review, we will focus on cases of IIH where the modified Dandy criteria are met.

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