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Idiopathic Intracranial Hypertension
Journal article   Peer reviewed

Idiopathic Intracranial Hypertension

Michael Wall
Neurologic Clinics, Vol.28(3), pp.593-617
2010
DOI: 10.1016/j.ncl.2010.03.003
PMCID: PMC2908600
PMID: 20637991
url
https://www.ncbi.nlm.nih.gov/pmc/articles/2908600View
Open Access

Abstract

Idiopathic intracranial hypertension ((IIH) is characterized by increased cerebrospinal fluid pressure of unknown cause. It is predominantly a disease of women in the childbearing years. Although the cause of IIH remains obscure, it has become clear that loss of visual function is common and patients may progress to blindness if untreated. Diagnosis should adhere to the modified Dandy criteria and other causes of intracranial hypertension sought. IIH patient management should include serial perimetry and optic disc grading or photography. The proper therapy can then be selected and visual loss prevented or reversed. Although there are no evidence-based data to guide therapy, there is an ongoing randomized double-blind controlled treatment trial of IIH investigating diet and medical therapy.
Pseudotumor cerebri Papilledema Visual loss Idiopathic intracranial hypertension

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