Current Indications for Management Options in Pseudotumor Cerebri

There are surgical options available for those patients with idiopathic intracranial hypertension (IIH) who have significant visual threat or visual deterioration despite best medical management or whose visual deterioration is rapid enough to warrant urgent intervention. Optic nerve sheath fenestra...

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Bibliographic Details
Published inNeurologic clinics Vol. 40; no. 2; p. 391
Main Authors Akhter, Asad, Schulz, Lauren, Inger, Hilliary E, McGregor, John M
Format Journal Article
LanguageEnglish
Published United States 01.05.2022
Subjects
Central Nervous System
Humans
Neurosurgical Procedures
Pseudotumor Cerebri - surgery
Stents
Pseudotumor cerebri
Complication
Optic nerve sheath fenestration
Venous sinus stenting
Shunt
Idiopathic intracranial hypertension
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Summary:There are surgical options available for those patients with idiopathic intracranial hypertension (IIH) who have significant visual threat or visual deterioration despite best medical management or whose visual deterioration is rapid enough to warrant urgent intervention. Optic nerve sheath fenestrations, venous sinus stenting, and cerebrospinal fluid diversion via ventriculoperitoneal and lumboperitoneal shunting are useful adjuncts in the management of this condition. Significant resources are used in the care of patients with IIH. Further understanding of the pathophysiology of IIH will likely direct future treatment options to more targeted therapeutics including surgery for IIH in the future.
ISSN:1557-9875
DOI:10.1016/j.ncl.2021.11.011