idiopathic Intracranial Hypertension Flashcards

1
Q

what is this?

A

raised ICP in absence of any space occupying lesions or hydrocephalus

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2
Q

who gets IIH

A

Young female + obese

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3
Q

IIH features

A

headaches (bad in morning, relieved by standing)
visual loss (papillodema)
nausea + vomitting
Sometimes CN VI palsy

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4
Q

investigations for IIH

A
CT or MRI (may show normal or reduced [slit like] ventricles)
visual fields + fundoscope
Lumbar puncture (if not contraindicated)
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5
Q

management of IIH

A

diruetics (acetazolomide)
VP shunt
Optic nerve sheath fenestration??
WEIGHT LOSS!!!!!

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