Idiopathic Intracranial Hypertension

1509 WordsJan 31, 20186 Pages
Discussion History In 1890, a German physician named Quicke described a neurological condition in which patients had signs and symptoms of increased intracranial pressure without a brain tumor being present [1]. Between 1927 and 1937, Dr. Dandy, a pioneer of neurosurgery was able to gather the most common signs and symptoms of 22 patients with pseudotumor cerebri [2]. These symptoms included headache, nausea, vomiting, diplopia, dizziness, and loss of vision. It is important to note that the patient seen in our clinic was not experiencing any of the mentioned symptoms except for vision loss. According to Dr. Dandy, the most common ocular signs were bilateral papilledema and some patients had retinal hemorrhages, which indicated long-standing severe intracranial hypertension. In each case intracranial pressure was measured by ventricular or lumbar puncture and measured to be anywhere from 250 to 550 mm of water and in every instance the ventricles were smaller than normal and symmetrical. The treatment for most of these patients was a right sub-temporal decompression. This was done if the signs and symptoms indicated a need for intervention. In most patients there was a complete, spontaneous cure [2]. A more recent prospective study of 50 patients showed the breakdown of the most common symptoms of idiopathic intracranial hypertension [3]: ●Headache (92 percent) ●Transient visual obscurations (72 percent) ●Intracranial noises (pulsatile tinnitus) (60 percent)
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