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Papers of the Week


2022 Jan 31


Ugeskr Laeger


184


5

[Invasive treatment of idiopathic intracranial hypertension].

Authors

Mikkelsen R, Karabegovic S, Hansen T S, Juhler M, Jensen R H, Speiser L
Ugeskr Laeger. 2022 Jan 31; 184(5).
PMID: 35179123.

Abstract

Idiopathic intracranial hypertension (IIH) is characterised by intractable headache, papilloedema, visual symptoms, pulsatile tinnitus and elevated intracranial pressure (ICP). The incidence has increased, most likely due to the simultaneous increase in obesity. This review finds that imaging is centered on ruling out structural causes of elevated ICP as well as visualising classical signs of IIH. Surgery is only indicated for patients at risk of acute vision loss and first line treatment in Denmark is optic nerve sheath fenestration, liquor drainage followed by endovascular treatment.