https://idwiki.org/index.php?action=history&feed=atom&title=Idiopathic_intracranial_hypertension 2026-04-25T19:01:04Z Revision history for this page on the wiki MediaWiki 1.43.8 https://idwiki.org/index.php?title=Idiopathic_intracranial_hypertension&diff=9932&oldid=prev 2023-05-02T16:27:11Z

<p><span class="autocomment">Chronic</span></p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 16:27, 2 May 2023</td> </tr><tr> <td colspan="2" class="diff-lineno">Line 103:</td> <td colspan="2" class="diff-lineno">Line 103:</td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br /></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br /></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Medication</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Medication</div></td> </tr> <tr> <td class="diff-marker" data-marker="−"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**[[Acetazolamide]] 250-500 mg p.o. twice daily, and titrated up</div></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Acetazolamide]] 250-500 mg p.o. twice daily, and titrated up<ins style="font-weight: bold; text-decoration: none;"> to a maximum of 4 g total daily dose</ins></div></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**[[Topiramate]]</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**[[Topiramate]]</div></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**[[Corticosteroids]]</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**[[Corticosteroids]]</div></td> </tr> <!-- diff cache key site7_mediawiki:diff:1.41:old-9930:rev-9932:wikidiff2=table:1.13.0:bc2a06be --> </table>

Aidan https://idwiki.org/index.php?title=Idiopathic_intracranial_hypertension&diff=9930&oldid=prev 2023-05-02T16:25:49Z

<p><span class="autocomment">Chronic</span></p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 16:25, 2 May 2023</td> </tr><tr> <td colspan="2" class="diff-lineno">Line 103:</td> <td colspan="2" class="diff-lineno">Line 103:</td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br /></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br /></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Medication</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Medication</div></td> </tr> <tr> <td class="diff-marker" data-marker="−"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**[[Acetazolamide]]</div></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Acetazolamide]]<ins style="font-weight: bold; text-decoration: none;"> 250-500 mg p.o. twice daily, and titrated up</ins></div></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**[[Topiramate]]</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**[[Topiramate]]</div></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**[[Corticosteroids]]</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**[[Corticosteroids]]</div></td> </tr> </table>

Aidan https://idwiki.org/index.php?title=Idiopathic_intracranial_hypertension&diff=5499&oldid=prev 2020-08-02T14:34:31Z

<p></p> <a href="https://idwiki.org/index.php?title=Idiopathic_intracranial_hypertension&amp;diff=5499&amp;oldid=5103">Show changes</a>

Aidan https://idwiki.org/index.php?title=Idiopathic_intracranial_hypertension&diff=5103&oldid=prev 2020-07-20T14:22:45Z

<p>Text replacement - &quot;Clinical Presentation&quot; to &quot;Clinical Manifestations&quot;</p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 14:22, 20 July 2020</td> </tr><tr> <td colspan="2" class="diff-lineno">Line 40:</td> <td colspan="2" class="diff-lineno">Line 40:</td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>* Glucocorticoid use or withdrawal</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>* Glucocorticoid use or withdrawal</div></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br /></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br /></td> </tr> <tr> <td class="diff-marker" data-marker="−"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>== Clinical <del style="font-weight: bold; text-decoration: none;">Presentation</del> ==</div></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>== Clinical <ins style="font-weight: bold; text-decoration: none;">Manifestations</ins> ==</div></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br /></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br /></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>* History</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>* History</div></td> </tr> </table>

Aidan https://idwiki.org/index.php?title=Idiopathic_intracranial_hypertension&diff=4277&oldid=prev 2020-07-04T01:17:40Z

<p>Imported from text file</p> <p><b>New page</b></p><div>aka. pseudotumor cerebri<br /> <br /> == Definition ==<br /> <br /> * Increase in intracranial pressure without an identifiable cause<br /> * Defined as elevated opening pressure &amp;gt; 25cm H2O on lumbar puncture without identifiable intracranial structural pathology<br /> <br /> == Pathophysiology ==<br /> <br /> * Most likely from elevated venous pressure causing decreased CSF resorption<br /> <br /> == Differential Diagnosis ==<br /> <br /> * Severe iron deficiency anemia<br /> * Sickle cell anemia<br /> * Leukemia<br /> * Addison disease<br /> * Pregnancy, PCOS<br /> * Hypothyroidism, thyrotoxicosis<br /> * Hypocalcemia<br /> * Renal failure<br /> * COPD<br /> * Right heart failure with lumpnary hypertension<br /> * OSA<br /> * SLE, sarcoid<br /> * CSVT/IJV thrombus<br /> * Meningitis<br /> * Otitits media, lyme, HIV, varicella, sinusitis, viral disease, febrile illness, Strep B pharyngitis<br /> * Medication<br /> <br /> == Risk Factors ==<br /> <br /> * Obese female of child-bearing age<br /> * Hypervitaminosis A<br /> * Tetracycline antibiotics<br /> * Isotretinoin<br /> * Oral contraceptive pills<br /> * Phenytoin<br /> * Pregnancy<br /> * Glucocorticoid use or withdrawal<br /> <br /> == Clinical Presentation ==<br /> <br /> * History<br /> ** Diffuse, steady or throbbing headache that is worse in the morning<br /> ** Visual obscurations: bilateral dimming of vision lasting seconds<br /> ** Blurred vision, scotomas, and diplopia<br /> ** Pulsatile tinnitus, dizziness, and neck pain<br /> * Signs &amp;amp; Symptoms<br /> ** Papilledema<br /> ** Strabismus from CN VI palsy<br /> <br /> == Investigations ==<br /> <br /> * Labs<br /> * Imaging<br /> ** MRI brain may show small ventricles, partially empty sella turcica, widening of the optic nerve sleeves, optic nerve buckling, or flattening of the optic globes, or may be normal<br /> * Other<br /> ** [Lumbar puncture] with opening pressure for diagnosis<br /> ** [Visual field testing] is crucial<br /> <br /> == Criteria ==<br /> <br /> * modified dandy&#039;s criteria<br /> * s/s of increased ICP<br /> * no neuro signs except CN VI palsy<br /> * normal CSF<br /> * no hydrocephalus/mass/etc on MRI<br /> * no other cause of incranranial hypertension<br /> * opening pressure &amp;gt;25cm<br /> * clear clinical response to LP drainage<br /> <br /> == Management ==<br /> <br /> * Acute<br /> ** Discontinue offending medication, if any<br /> * Chronic<br /> ** Acetazolamide<br /> ** Topiramate<br /> * LP for decompression, including repeated<br /> * Medication<br /> ** Acetazolamide<br /> ** Topiramate<br /> ** Corticosteroids<br /> * Repeat LPs, often every 1-3 months despite medications<br /> * Remove causative factors, including counselling on weight loss<br /> * Refer to Ophthalmology and Neurology<br /> * May need surgical intervention if sight is threatened or treatment with medication fails<br /> <br /> [[Category:Neurology]]</div>

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