Research Article
Volume 13 Issue 10 - 2021
How Successful we are in the Management of Idiopathic Intracranial Hypertension?
Buse Rahime Hasırcı Bayır1*, Can Ulutaş2, Gizem Gürsoy3, Merve Beyza Çetin4, Kemal Tutkavul5, Hülya Tireli6 and Cemile Handan Mısırlı5
11Neurology Specialist, Department of Neurology, Haydarpaşa Numune Research and Training Hospital, Istanbul, Turkey
2Neurology Residency, Department of Neurology, Haydarpaşa Numune Research and Training Hospital, Istanbul, Turkey
3Neurology Specialist, Department of Neurology, Haseki Research and Training Hospital, Istanbul, Turkey
4Ophthalmology Specialist, Department of Ophthalmology, Haydarpaşa Numune Research and Training Hospital, Istanbul, Turkey
5Professor Doctor, Department of Neurology, Haydarpaşa Numune Research and Training Hospital, Istanbul, Turkey
6Associated Professor Doctor, Department of Neurology, Haydarpaşa Numune Research and Training Hospital, Istanbul, Turkey
*Corresponding Author: Buse Rahime Hasırcı Bayır, Neurology Specialist, Department of Neurology, Haydarpaşa Numune Research and Training Hospital, Istanbul, Turkey.
Received: August 24, 2021; Published: September 18, 2021




Abstract

Aim: Idiopathic intracranial hypertension is presented by headache and visual impairment and frequently seen in women of reproductive age. The present study aimed to evaluate the recovery rates of idiopathic intracranial hypertension symptoms and patient compliance with weight control and treatment during the follow-up period.

Materials and Methods: The files of 106 patients who were diagnosed as having idiopathic intracranial hypertension were examined. Idiopathic intracranial hypertension symptoms, body mass index, fundus examinations, cerebrospinal fluid opening pressure, and cranial imaging findings were obtained from their files.

Patients who accepted a phone call were questioned about their current symptoms, body mass index, and treatment of idiopathic intracranial hypertension.

Results: Forty-one patients (37 females and four males) with a mean age of 35 years were included in the study. The mean time between the patients’ symptom onset and hospitalization was 11.5 months (range, 3 days - 10 years). The mean follow-up period of the patients was 3.25 (range, 1 - 10) years and headache in 15 (36.5%) patients and visual symptoms in seven (17%) patients continued. It was observed that the average body mass index of the patients showed a minimal decrease from 32.6 kg/m2 to 31.2 kg/m2. Ten patients continued the drug treatment and 31 patients stopped the treatment within an average of 2.5 years. Eighteen patients left the follow-up voluntarily.

Conclusion: Idiopathic intracranial hypertension requires regular follow-up due to the risk of recurrence, and it was observed that our patients’ compliance with treatment and outpatient follow-up was low. However, despite this, only three patients developed permanent vision loss. This indicates that the prognosis of IIH may be better than expected, even in patients with low treatment compliance in the long term.

Keywords: Idiopathic Intracranial Hypertension; Headache; Obesity; Treatment

References

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Citation: Buse Rahime Hasırcı Bayır., et al. “How Successful we are in the Management of Idiopathic Intracranial Hypertension?”. EC Neurology 13.10 (2021): 50-57.

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