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Papers: 30 Apr 2022 - 6 May 2022

2022 Apr 27

Otolaryngol Clin North Am

Idiopathic Intracranial Hypertension: Implications for the Otolaryngologist.


Pan DW, Vanstrum E, Doherty JK
Otolaryngol Clin North Am. 2022 Apr 27.
PMID: 35490040.


Idiopathic intracranial hypertension (IIH) is a triad of headaches, visual changes, and papilledema in the absence of a secondary cause for elevated intracranial pressure. There is an association with obesity, and the incidence is rising in parallel with the obesity epidemic. Sometimes these patients present to an otolaryngologist with complaints like tinnitus, dizziness, hearing loss, and otorrhea or rhinorrhea from cerebrospinal fluid leak. IIH diagnosis in conjunction with neurology and ophthalmology, including neuroimaging and lumbar puncture with opening pressure, is key to managing of this condition. Otolaryngologists should recognize IIH as a possible diagnosis and initiate appropriate referrals and treatment.