The incidence of the pseudotumor cerebri: population studies in Iowa and louisiana. Arch Neurol ; Idiopathic intracranial hypertension in children: the Iowa experience. J Child Neurol ;
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Treatment and prognosis Treatment options include CSF letting, acetazolamide and lumboperitoneal shunts. In patients with progressive visual deterioration, optic nerve fenestration may be required to preserve vision. Venous sinus stenting has been reported in case series 4,10 and also being trialled 13, The treatment is controversial as to whether apparent venous sinus stenosis is the cause or the effect of IIH 11, Spontaneous resolution of apparent stenosis is recognized 6.
History and etymology Idiopathic intracranial hypertension was first reported in by Heinrich Quincke, and terms "meningitis serosa". The term "pseudotumor cerebri" was later introduced in , and later still "benign intracranial hypertension" in not to be confused with benign intracranial hypotension Differential diagnosis Other causes of intracranial hypertension and papilledema should be sought.
Causes of venous obstruction e. It has even been suggested that some cases of symptomatic intracranial hypertension are secondary to a Chiari I malformation Importantly, however, every attempt should be made to distinguish between the two entities as treatment is different and symptom relief for patients with idiopathic intracranial hypotension with posterior fossa decompression is insignificant Idiopathic intracranial hypertension pseudotumor cerebri : MR imaging.
Radiology abstract - Pubmed citation 2. Digre KB. Not so benign intracranial hypertension. Reversible empty sella in idiopathic intracranial hypertension: an indicator of successful therapy?
Idiopathic intracranial hypertension: 12 cases treated by venous sinus stenting. Benign intracranial hypertension associated to blood coagulation derangements. Thromb J. MR imaging of idiopathic intracranial hypertension. Nontraumatic skull base defects with spontaneous CSF rhinorrhea and arachnoid herniation: imaging findings and correlation with endoscopic sinus surgery in 27 patients. A - Pubmed citation 8.
Radiographics full text - doi Meningoceles in idiopathic intracranial hypertension. Transverse sinus stenting for idiopathic intracranial hypertension: a review of 52 patients and of model predictions. A - Pubmed citation Reversibility of venous sinus obstruction in idiopathic intracranial hypertension. Resolution of transverse sinus stenoses immediately after CSF withdrawal in idiopathic intracranial hypertension. Pseudotumor cerebri: brief review of clinical syndrome and imaging findings.
Incidence of cerebellar tonsillar ectopia in idiopathic intracranial hypertension: a mimic of the Chiari I malformation. Amit M. Saindane, Paolo P. Enlarged CSF spaces in pseudotumor cerebri.
American journal of roentgenology. Bejjani GK. Pubmed Chiari I malformation with underlying pseudotumor cerebri: Poor symptom relief following posterior decompression surgery.
Fiche de cours : Hypertension intracranienne idiopatique
L’Hypertension intracrânienne idiopathique – Symptômes, diagnostic et traitement