Endolymphatic hydrops in idiopathic intracranial hypertension: prevalence and clinical outcome after lumbar puncture. Preliminary data

Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
Angelo RanieriRoberto De Simone

Abstract

Idiopathic intracranial hypertension is characterized by raised intracranial pressure (ICP) without any underlying pathology, presenting with (IIH) or without papilledema (IIHWOP). Headache, often on daily basis, is the most frequent symptom. Among audiovestibular symptoms, tinnitus and dizziness are commonly reported, while vertigo and hearing impairment are infrequent reports. Endolymphatic hydrops (ELH) is the typical histopathologic feature of Ménière disease, a condition featured by episodes of vertigo, dizziness, fluctuating hearing loss, tinnitus, and aural fullness. Evidences suggest that ICP is transmitted to inner ear. The aim of this study is to investigate the prevalence of ELH symptoms in IIH/IIHWOP and the relationship between the raised ICP and ELH. The prevalence of chronic headache and of ELH symptoms was investigated in a consecutive series of IIH/IIHWOP patients, and a standard audiometry with hearing threshold measurement (pure-tone average-PTA) was performed. Differences in chronic headache and ELH symptoms prevalence and changes of PTA threshold were calculated after ICP normalization by lumbar puncture (LP). Thirty-one patients (17 with IIH and 14 with IIHWOP) were included. Before LP, chronic headache wa...Continue Reading

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Citations

Aug 9, 2019·Journal of Neuropathology and Experimental Neurology·Md Mahdi Hasan-OlivePer Kristian Eide
Aug 28, 2020·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Roberto De SimoneVincenzo Bonavita
Jul 18, 2018·Acta neurochirurgica·Jonathan P FunnellAhmed K Toma
Mar 7, 2019·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Roberto De SimoneVincenzo Bonavita
Mar 27, 2021·Taiwan Journal of Ophthalmology·Benson S ChenValérie Biousse
Apr 13, 2021·Journal of Vestibular Research : Equilibrium & Orientation·Sylvain RedonAnne Donnet
Jun 16, 2021·Diagnostic and Interventional Imaging·Marc-Antoine LabeyrieEmmanuel Houdart
Jul 13, 2021·The Journal of International Medical Research·Milan VajdaPavel Ryška

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