Idiopathic Intracranial Hypertension Without Papilledema (IIHWOP) in Chronic Refractory Headache

Frontiers in Neurology
Valentina FavoniSabina Cevoli

Abstract

Background: To determine the prevalence of Idiopathic intracranial hypertension without papilledema (IIHWOP) testing revised diagnostic criteria by Friedman in refractory chronic headache (CH) patients. Methods: This is a prospective observational study. Each patient underwent ophthalmologic evaluation and Optical Coherence Tomography; brain magnetic resonance venography (MRV) and a lumbar puncture (LP) with opening pressure (OP) measurement. CSF withdrawal was performed in patients with CSF OP > 200 mmH20. IIHWOP was defined according Friedman's diagnostic criteria. Effect of CSF withdrawal was evaluated clinically in a 6-month follow-up and with a MRV study at 1 month. Results: Forty-five consecutive patients were enrolled. Five were excluded due to protocol violations. Analyses were conducted in 40 patients (32 F, 8 M; mean age 49.4 ± 10.8). None had papilledema. Nine patients (22.5%) had OP greater than 200 mmH2O, two of them above 250 mmH2O. Two (5%) had neuroimaging findings suggestive of elevated intracranial pressure. One of them (2.5%) met the newly proposed diagnostic criteria by Friedman for IIHWOP. After CSF withdrawal seven (77.8%) of the nine patients improved. No changes in neuroimaging findings were found. Concl...Continue Reading

References

Nov 29, 2002·Neurology·Deborah I Friedman, Daniel M Jacobson
Apr 4, 2008·Cephalalgia : an International Journal of Headache·D S S VieiraM F P Peres
Jun 12, 2009·Cephalalgia : an International Journal of Headache·F BonoA Quattrone
Oct 27, 2010·Cephalalgia : an International Journal of Headache·F BonoA Quattrone
Apr 23, 2011·AJNR. American Journal of Neuroradiology·A C RohrO Jansen
Aug 24, 2012·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Anat HorevIlan Shelef
Jun 19, 2013·Cephalalgia : an International Journal of Headache·UNKNOWN Headache Classification Committee of the International Headache Society (IHS)
Aug 24, 2013·Neurology·Deborah I FriedmanKathleen B Digre
Mar 19, 2014·Neurology·Roberto De SimoneKathleen B Digre
May 2, 2014·Journal of Neurology·Roberto De SimoneVincenzo Bonavita
Aug 30, 2014·The Journal of Headache and Pain·Paolo MartellettiRigmor Højland Jensen
Apr 24, 2015·The Journal of Headache and Pain·Raffaele OrnelloSimona Sacco

❮ Previous
Next ❯

Citations

May 28, 2020·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Halil OnderErol Erkan
Jan 11, 2020·Frontiers in Neurology·Valentina FavoniSabina Cevoli
Mar 7, 2019·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Roberto De SimoneVincenzo Bonavita
Aug 28, 2020·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
Jul 16, 2021·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·G SagerY Akın
May 17, 2021·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Halil Onder, Sercan Cikrikci

❮ Previous
Next ❯

Software Mentioned

SPSS
StratusOCT

Related Concepts

Related Feeds

CSF & Lymphatic System

This feed focuses on Cerebral Spinal Fluid (CSF) and the lymphatic system. Discover the latest papers using imaging techniques to track CSF outflow into the lymphatic system in animal models.