Noninvasive Monitoring and Neurointerventional Management of Idiopathic Intracranial Hypertension

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Update on the pathophysiology and management of idiopathic intracranial hypertension.

Idiopathic intracranial hypertension is a disease of unknown aetiology, typically affecting young obese women, producing a syndrome of increased intracranial pressure without identifiable cause. Despite a large number of hypotheses and publications over the past decade, the aetiology is still unknown. Vitamin A metabolism, adipose tissue as an actively secreting endocrine tissue and cerebral ve...

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Idiopathic intracranial hypertension.

Idiopathic intracranial hypertension is common in obese women and can lead to significant visual impairment. First described more than 100 years ago, the cause of the disorder remains unknown. Despite a multitude of proposed links, the aetiology has never been established. Impairment of cerebrospinal-fluid reabsorption is the most likely underlying pathophysiological cause of the raised pressur...

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Idiopathic intracranial hypertension.

Although the cause of IIH remains obscure, loss of visual function is common, and patients may progress to blindness. Diagnosis should adhere to the modified Dandy criteria. Recent case-control studies cast doubt on the validity of many frequently cited conditions associated with IIH. Valid associations include obesity, recent weight gain, female sex, vitamin A intoxication, and steroid withdra...

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Idiopathic Intracranial Hypertension (IIH).

The first report of Idiopathic Intracranial Hypertension (IIH) was by Quinche in 1893. Throughout history it has had many names. When I was a child growing up, before we had antibiotic therapy, middle ear infections occasionally would trigger intracranial inflammation and the disease was called Otitic Hydrocephalus. Then it was called Benign Intracranial Hypertension which we now know is far fr...

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Idiopathic intracranial hypertension and obesity.

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 PTCS for adults and children. Additionally, the role of obesity in the epidemiolog...

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ژورنال

عنوان ژورنال: Journal of Clinical Interventional Radiology ISVIR

سال: 2020

ISSN: 2456-4869

DOI: 10.1055/s-0040-1708578