Idiopathic intracranial hypertension Flashcards
1
Q
in what patients is idiopathic intracranial hypertension most commonly seen in?
A
young and obese women
2
Q
what is the presentation of idiopathic intracranial hypertension ?
A
headache:
- non-pulsatile
- bilateral
- worse in morning
morning vomiting
visual disturbances:
- transient darkening or loss
3
Q
how is idiopathic intracranial hypertension managed?
A
1st line: weight loss
medication:
- carbonic anhydrase inhibitors (acetazolamine)
- topiramate
- furosemide
vision: - optic nerve sheath fenestration
refractory to medication and weight loss;
- therapeutic LP
- surgical CSF shunt
4
Q
what is a key differential of morning headache ?
A
sleep apnoea (OSAS)
5
Q
what drugs is idiopathic intracranial hypertension associated with?
A
vitamin A steroids OCP tetracycline lithium
6
Q
what clinical sign might you observe on examination of a patient with idiopathic intracranial hypertension ?
A
bilateral papiloedema
