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Idiopathic Intracranial Hypertension with Papilledema.
Neurosurg Clin N Am
April 2025
Departments of Surgery (Ophthalmology) and Clinical Neurosciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada. Electronic address:
Idiopathic intracranial hypertension (IIH) is becoming an increasingly common health care concern as global obesity rates rise. Physicians need to be familiar with the salient clinical features of this condition to improve the quality of lives of patients, reduce related health care costs, and optimize visual outcomes. The focus of this review is IIH with papilledema, because the potential for vision loss is a dire concern that drives urgency in diagnosis and management.
View Article and Find Full Text PDFCerebrospinal Fluid Shunts to Treat Hydrocephalus and Idiopathic Intracranial Hypertension: Surgical Techniques and Complication Avoidance.
Neurosurg Clin N Am
April 2025
Department of Neurological Surgery, Ohio State University College of Medicine, 410 West 10th Avenue, Columbus, OH 43210, USA; Department of Pediatric Neurosurgery, Nationwide Children's Hospital, 4th Floor Faculty Office Building, 700 Children's Drive, Columbus, OH 43205, USA. Electronic address:
This article provides an in-depth review of cerebrospinal fluid (CSF) shunts for managing hydrocephalus and idiopathic intracranial hypertension, with a focus on advanced surgical techniques and strategies to prevent complications. It examines the placement of ventricular, lumbar, peritoneal, atrial, and pleural catheters, highlighting the benefits of neuro-navigation, endoscopic visualization, and laparoscopic-assisted approaches. Evidence-based methods to reduce shunt infections, malfunctions, and overdrainage are discussed, along with a comparative analysis of shunt types tailored to individual patient needs.
View Article and Find Full Text PDFCerebrospinal Fluid Shunts to Treat Hydrocephalus and Idiopathic Intracranial Hypertension: Shunt Catheters and Valves.
Neurosurg Clin N Am
April 2025
Victor Horsley Department of Neurosurgery, The National Hospital for Neurology and Neurosurgery, London, UK; Queen Square Institute of Neurology, University College London, London, UK. Electronic address:
The introduction of cerebrospinal fluid (CSF) drainage shunts has made treatment of hydrocephalus possible. However, failure rate is still high. Choice of shunt components could significantly reduce the need for revision, particularly using antisiphon devices and adjustable valves, at least in older patients.
View Article and Find Full Text PDF[Idiopathic Intracranial Hypertension: Clinical-Epidemiological Profile and Factors Associated with Visual Outcome].
Rev Med Chil
November 2024
Servicio de Oftalmología, Hospital del Salvador, Universidad de Chile, Santiago, Chile.
Unlabelled: The prevalence of idiopathic intracranial hypertension (IIH) has been increasing along with the incidence of obesity in the population. There is little national statistical data on this pathology.
Aim: To characterize cases of IIH clinically and epidemiologically and analyze factors associated with visual outcomes.
Outcomes of Stenting in Atypical Idiopathic Intracranial Hypertension Patients With Transverse Sinus Stenosis.
Brain Behav
February 2025
Department of Interventional Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Background: Venous sinus stenting (VSS) has emerged as a novel treatment option for idiopathic intracranial hypertension (IIH) with transverse sinus stenosis (TSS). However, the efficacy of stenting in atypical IIH patients (body mass index [BMI] < 24 kg/m, ≥ 50 years of age, or male) has not been fully investigated.
Methods: The data of IIH + TSS patients who experienced conventional medical treatment failure and received VSS treatment at Beijing Tiantan Hospital in China between May 2021 and December 2022 were retrospectively reviewed in a prospectively maintained database.
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