Idiopathic Intracranial Hypertension: Diagnosis and Therapeutic Approach

Nihan Hande Akçakaya; Mehmet Osman Akçakaya; Altay Sencer; Zuhal Yapıcı

doi:10.4274/tnd.97820

Nihan Hande Akçakaya¹, Mehmet Osman Akçakaya², Altay Sencer³, Zuhal Yapıcı⁴

¹Istanbul University Aziz Sancar Institute of Experimental Medicine, Department of Genetics, Istanbul, Turkey
²Liv Hospital, Clinic of Neurosurgery, Istanbul, Turkey
³Istanbul University Istanbul Faculty of Medicine, Department of Neurosurgery, Istanbul, Turkey
⁴Istanbul University Istanbul Faculty of Medicine, Department of Neurology, Istanbul, Turkey

Keywords: Idiopathic intracranial hypertension, pseudotumor cerebri, primary pseudotumor cerebri, optic nerve compartment syndrome, review

Abstract

Idiopathic intracranial hypertension (IIH) is a condition of increased intracranial pressure without a secondary etiology. IIH is seen frequently in young and obese women. Headache, vision problems, and pulsatile tinnitus are the most common symptoms that lead patients to physicians. IIH requires a multidisciplinary approach because it could create permanent morbidity and its treatment plan should be individualized for each patient. The aim of this review was to provide an updated overview of IIH’s pathogenesis, diagnostic criteria, and treatment strategies.