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Idiopathic Intracranial Hypertension

Elevated cerebrospinal fluid pressure of undetermined cause.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Nöroloji department. Book Appointment →

What is Idiopathic Intracranial Hypertension?

Idiopathic intracranial hypertension (pseudotumor cerebri) is a condition characterized by increased intracranial pressure without any structural lesion. It is particularly common in overweight young women.

Clinically, chronic headache, blurred vision, double vision, pulsatile tinnitus and visual field loss occur. Papilledema is the typical finding on fundus examination.

Diagnosis is made with brain MRI (to exclude lesions) and lumbar puncture showing high opening pressure. Untreated, it can lead to permanent vision loss.

Symptoms

Severe, progressive headache
Blurred vision and visual field loss
Double vision
Pulsatile tinnitus (pulsing sound in the ear)
Nausea and vomiting
Headache worsening with cough or bending
Rarely, facial pain

Risk Factors

Overweight and obesity
Female sex
Reproductive age
Rapid weight gain
Some drugs (vitamin A, tetracyclines, some contraceptives)
Polycystic ovary syndrome
Sleep apnea

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • If there is progressive severe headache
  • If there is blurred vision or transient visual loss attacks
  • When papilledema is detected
  • If double vision develops
  • New-onset severe headache during pregnancy

Treatment Methods

01
Weight loss and lifestyle changes
02
Drugs that reduce CSF production such as acetazolamide
03
Discontinuation of triggering drugs
04
Optic nerve sheath fenestration (if at risk of vision loss)
05
Lumboperitoneal or ventriculoperitoneal shunt
06
Venous sinus stenting (in selected cases)

Which Department to Visit?

You can visit our Nöroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.