IDIOPATHIC INTRACRANIAL HYPERTENSION: A CLINICAL STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2014, Vol 3, Issue 30
Abstract
[b]BACKGROUND AND OBJECTIVES[/b]: IIH is a disease characterized by raised intracranial pressure without ventricular enlargement or intracranial mass on imaging, with normal cerebrospinal fluid constituents. Objective of the study was to study the clinical profile of patients who fulfilled the criteria for IIH admitted at MMC&RI, Mysore. [b]METHOD AND RESULTS:[/b] 20 subjects who fulfilled the Modified Dandy’s criteria for IIH underwent detailed neurological evaluation and papilledema was reconfirmed by the ophthalmologist and were subjected to necessary neuroimaging and then underwent lumbar puncture and CSF opening pressure was measured. After the diagnosis, patients were started on adequate doses of mannitol and acetazolamide. Patients were followed regularly for dose titration of acetazolamide. In our study most subjects were in the age of 3rd or 4th decade and 80% of the subjects were women. 15% of patients were obese. 50% of subjects had lateral rectus palsy. Mean CSF pressure was 282mm of water. In our study 95% of the patients improved with medications and only 1 patient had to undergo shunting. [b]CONCLUSION[/b]: Idiopathic Intracranial Hypertension (IIH) is a disease more common in obese women of 3rd and 4th decade, is a potentially reversible cause of vision loss, calls for more alertness and a responsible approach towards patients presenting with headache, more so when it is an obese woman in her 3rd /4th decade
Authors and Affiliations
Suresh K, Basavaraju M. M, Kuldeep Shetty, Surakshith T. K, Ramesh S. S
Keywords
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- EP ID EP95685
- DOI 10.14260/jemds/2014/3081
- Views 74
- Downloads 0
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