Idiopathic intracranial hypertension: Difference between revisions

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==Background==
==Background==
Impaired arachnoid villi absorption
Impaired arachnoid villi absorption


==Diagnosis==
==Diagnosis==
#Young, obese females
#Headache (worse in AM/ with manuvers increasing ICP)
#Papilledema (optic atrophy/vision loss)
#Neuro exam frequently normal


 
==Work-Up==
-Young, obese females-Headache (worse in AM/ with manuvers increasing ICP)-Papilledema (optic atrophy/vision loss)-Neuro exam frequently normal ==Work-Up==
# CT scan (negative)
 
# LP (CSF pressure 25-40)  
 
1) CT scan (negative)2)  LP (CSF pressure 25-40)  


==Treatment==
==Treatment==
# Repeate LPs (decrease CSF pressure)
# Diamox
# Weight loss
# Shunt
# Optic nerve sheath fenestration


 
==Disposition==
1) Repeate LPs (decrease CSF pressure)2) Diamox3) Weight loss4) Shunt5) Optic nerve sheath fenestration ==Disposition==
 
 
Admit for:
Admit for:
 
# Severe pain
1) Severe pain
# Focal findings
 
# Vision changes
2) Focal findings
 
3) Vision changes
 
 
 


[[Category:Neuro]]
[[Category:Neuro]]

Revision as of 07:48, 28 March 2011

Background

Impaired arachnoid villi absorption

Diagnosis

  1. Young, obese females
  2. Headache (worse in AM/ with manuvers increasing ICP)
  3. Papilledema (optic atrophy/vision loss)
  4. Neuro exam frequently normal

Work-Up

  1. CT scan (negative)
  2. LP (CSF pressure 25-40)

Treatment

  1. Repeate LPs (decrease CSF pressure)
  2. Diamox
  3. Weight loss
  4. Shunt
  5. Optic nerve sheath fenestration

Disposition

Admit for:

  1. Severe pain
  2. Focal findings
  3. Vision changes
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