Idiopathic Intracranial Hypertension: Prognostic Factors and Multidisciplinary Management
Joint Authors
Chagot, Claire
Blonski, Marie
Machu, Jean-Loup
Bracard, Serge
Lacour, Jean-Christophe
Richard, Sébastien
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-08-13
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Background.
Idiopathic intracranial hypertension (IIH) mostly affects young obese women and can lead to permanent visual impairment.
However, prognostic factors and therapeutic strategy remain unclear.
Methods.
We retrospectively collected data from all patients diagnosed and managed for IIH in our university center from January 2001 to December 2016.
Results.
Seventy-nine patients were diagnosed with IIH.
Bilateral transverse sinus stenosis (TSS) was found in 74% of the population.
Visual outcome at 6 months was poor for 46% of patients, including all patients presenting weight gain of at least 5% since diagnosis (p<0.001), whereas mean body mass index at diagnosis was not different between patients with poor versus good outcome (32.9±7.7 versus 34.6 ± 9.4 kg·m−2).
Other significant factors of poor prognosis were bilateral TSS (OR = 5.2; 95 CI: 1.24–24.9; p=0.024).
Thirteen patients with poor outcome after 6-month assessment underwent unilateral TSS stenting leading to visual improvement in 11 cases.
Conclusion.
Weight gain, rather than initial weight, emerged as the leading factor of poor visual outcome in patients with IIH, followed by presence of bilateral TSS.
Consequently, first-line treatment must include dietary measures to control weight.
Unilateral stenting appears to be a safe second-line treatment option for patients with bilateral TSS.
American Psychological Association (APA)
Chagot, Claire& Blonski, Marie& Machu, Jean-Loup& Bracard, Serge& Lacour, Jean-Christophe& Richard, Sébastien. 2017. Idiopathic Intracranial Hypertension: Prognostic Factors and Multidisciplinary Management. Journal of Obesity،Vol. 2017, no. 2017, pp.1-10.
https://search.emarefa.net/detail/BIM-1184306
Modern Language Association (MLA)
Chagot, Claire…[et al.]. Idiopathic Intracranial Hypertension: Prognostic Factors and Multidisciplinary Management. Journal of Obesity No. 2017 (2017), pp.1-10.
https://search.emarefa.net/detail/BIM-1184306
American Medical Association (AMA)
Chagot, Claire& Blonski, Marie& Machu, Jean-Loup& Bracard, Serge& Lacour, Jean-Christophe& Richard, Sébastien. Idiopathic Intracranial Hypertension: Prognostic Factors and Multidisciplinary Management. Journal of Obesity. 2017. Vol. 2017, no. 2017, pp.1-10.
https://search.emarefa.net/detail/BIM-1184306
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1184306