Surgical and endovascular interventions in idiopathic intracranial hypertension

Spitze, Arielle; Malik, Amina I.; Lee, Andrew G.

doi:10.1097/wco.0000000000000049

Cited by 30 publications

(25 citation statements)

References 39 publications

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“…Complications to ONSF include traumatic optic neuropathy, retinal vascular occlusion, pupil dilatation, and diplopia [Spitze et al 2014]. Overall outcome on headache and quality of life are not reported.…”

Section: Optic Nerve Sheath Fenestrationmentioning

confidence: 99%

The diagnosis and management of idiopathic intracranial hypertension and the associated headache

Jensen

Radojičić

Yri

2016

Ther Adv Neurol Disord

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Idiopathic intracranial hypertension (IIH) is a challenging disorder with a rapid increasing incidence due to a close relation to obesity. The onset of symptoms is often insidious and patients may see many different specialists before the IIH diagnosis is settled. A summary of diagnosis, symptoms, headache characteristics and course, as well as existing evidence of treatment strategies is presented and strategies for investigations and management are proposed.

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Section: Optic Nerve Sheath Fenestrationmentioning

confidence: 99%

The diagnosis and management of idiopathic intracranial hypertension and the associated headache

Jensen

Radojičić

Yri

2016

Ther Adv Neurol Disord

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“…These include optic nerve sheath fenestration (ONSF), CSF diversion procedures, including either lumboperitoneal or ventriculoperitoneal shunting [7], bariatric surgery for obesity [8], and the newly introduced transverse sinus stenting. In IIH patients with focal venous sinus stenosis, emphasis on the management of sinus stenosis by stenting is a novel, emerging treatment option providing very satisfactory clinical outcomes and low rates of complication and revision.…”

Section: Treatmentmentioning

confidence: 99%

Neuroendovascular Cerebral Sinus Stenting in Idiopathic Intracranial Hypertension

et al. 2019

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Idiopathic intracranial hypertension (IIH) is a rare, ill-understood disease of significant morbidity. Because the pathophysiology is poorly understood, treatment protocols are not uniform and are directed towards alleviating the most common symptoms: headache and visual loss. In this review, we analyze 25 case series, all of which included IIH patients (n = 408) who were treated with placement of a venous sinus stent. Among 342 patients who had headache, 240 patients (70.2%) had improvement or resolution of headache after the stent insertion. Of the 217 patients documented to have visual problems, visual acuity was improved or stabilized in 161 patients (74.2%). Of the 304 patients with papilledema, 257 showed resolution or improved (84.5%). Of the 124 patients who presented with pulsatile tinnitus, it was resolved in 110 patients (88.7%) after stent placement. Endovascular management of dural sinus stenosis is therefore clinically efficacious in patients with IIH who have failed medical and surgical therapy.

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“…Surgical intervention is considered for the patients who do not respond well to medical management or for those who have severe papilledema with vision loss [4,37]. Surgical procedures used for the treatment of IIH include CSF shunting, subtemporal decompression, venous sinus stenting, and optic nerve fenestration [37,38].…”

Section: Discussionmentioning

confidence: 99%

Idiopathic intracranial hypertension occurred after spinal surgery: report of two rare cases and systematic review of the literature

Chen

et al. 2016

Eur Spine J

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Surgical and endovascular interventions in idiopathic intracranial hypertension

Abstract: This review compares and contrasts the surgical management options for IIH.

Cited by 30 publications

References 39 publications

The diagnosis and management of idiopathic intracranial hypertension and the associated headache

The diagnosis and management of idiopathic intracranial hypertension and the associated headache

Neuroendovascular Cerebral Sinus Stenting in Idiopathic Intracranial Hypertension

Idiopathic intracranial hypertension occurred after spinal surgery: report of two rare cases and systematic review of the literature

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