CME: Idiopathic Intracranial Hypertension

• Published in: Praxis (Bern. 1994) Vol. 111; no. 5; pp. 250 - 258
• Main Authors: Togni, Claudio, Fierz, Fabienne, Pohl, Heiko, Weber, Konrad P, Wegener, Susanne
• Format: Journal Article
• Language: German
• Published: Switzerland 01.04.2022
• Subjects: Female; Headache - etiology; Humans; Intracranial Hypertension - diagnosis; Intracranial Hypertension - etiology; Intracranial Hypertension - therapy; Migraine Disorders - complications; Pseudotumor Cerebri - complications; Pseudotumor Cerebri - diagnosis; Pseudotumor Cerebri - therapy; Vision Disorders; Weight Loss; Primäre und sekundäre Kopfschmerzen; Papillenschwellung; Primary and secondary headache; idiopathische intrakranielle Hypertension; migraine; intracranial pressure; papilledema; intrakranieller Druck; Migräne; idiopathic intracranial hypertension
• ISSN: 1661-8157
• DOI: 10.1024/1661-8157/a003838

CME: Idiopathic Intracranial Hypertension Idiopathic intracranial hypertension is a pressure-induced secondary headache disorder and optic neuropathy. It primarily affects obese women of childbearing age and poses an interdisciplinary challenge both diagnostically and therapeutically. The most common symptom of this disorder are headaches frequently accompanied by photo- and/or phonophobia, whose semiology often resembles that of migraine, followed by transient visual obscurations and pulsatile tinnitus. While protection of visual acuity and visual fields are of first therapeutical priority, adequate headache treatment also plays a key role. In the majority of cases, conservative treatment including weight loss and pharmacological therapy is sufficient. In case of a fulminant disease course or loss of visual function, interventional strategies can be applied additionally. Headache treatment is guided by the predominant semiology.