IDIOPATHIC INTRACRANIAL HYPERTENSION-MGM

SUMMARY

AKA PSEUDOTUMOR CEREBRI

1. Low-sodium weight-reducing diet, symptomatic treatment for headaches, carbonic anhydrase inhibitors (acetazolamide), and prevention of vision loss.

2. Repeat lumbar punctures, with drainage of sufficient fluid to maintain CSF pressure < 20 cm H₂O, may be helpful in 25%.

3. Unilateral optic nerve sheath fenestration may preserve vision in the acute setting.

4. In patients whose headaches are unresponsive to medications and weight reduction, LP shunt may have considerable success.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].