Diagnostic criteria for idiopathic intracranial hypertension

@article{Friedman2002DiagnosticCF,
  title={Diagnostic criteria for idiopathic intracranial hypertension},
  author={Deborah I Friedman and Daniel M. Jacobson},
  journal={Neurology},
  year={2002},
  volume={59},
  pages={1492 - 1495}
}
The syndrome of increased intracranial pressure without hydrocephalus or mass lesion and with normal CSF composition, previously referred to as pseudotumor cerebri, is a diagnosis of exclusion now termed idiopathic intracranial hypertension (IIH). Diagnostic criteria of this disorder have not been updated since the Modified Dandy Criteria were articulated in 1985. Since then, new developments, including advances in neuroimaging technology and recognition of additional secondary causes of… 

Tables from this paper

Updates on Recent Developments in Idiopathic Intracranial Hypertension
TLDR
This review aims to provide an updated overview on typical and atypical presentations, diagnostic criteria, work up, treatment options, and current theories on the pathophysiology of IIH.
Imaging and interventions in idiopathic intracranial hypertension: A pictorial essay
TLDR
The characteristic imaging features of this poorly understood disease are reiterated and it is emphasised that stenting of the transverse sinus in select cases of IIH is an efficacious option.
Idiopathic Intracranial Hypertension (Pseudotumor Cerebri)
  • S. Bell
  • Medicine
    The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses
  • 2016
TLDR
An overview for the neuroscience nurse of the clinical features, diagnostic work-up, and therapeutic options available for patients with idiopathic intracranial hypertension is provided.
Revised diagnostic criteria for the pseudotumor cerebri syndrome in adults and children
TLDR
Diagnostic criteria for pseudotumor cerebri syndrome are proposed to incorporate advances and insights into the disorder realized over the past 10 years.
Fifteen-minute consultation: the child with idiopathic intracranial hypertension
TLDR
A review of IIH in children and revised diagnostic criteria based on recent evidence and published opinion are provided and an algorithmic approach to the child with possible IIH is presented.
Pediatric Idiopathic Intracranial Hypertension (Pseudotumor Cerebri)
TLDR
This review discusses the demographics, clinical presentation, diagnosis, neuroimaging, and management of pediatric IIH, and common etiologies of IIH in children, with particular focus on endocrine abnormalities.
Ophthalmic aspects of idiopathic intracranial hypertension syndrome (pseudotumor cerebri)
Pseudotumor cerebri is a syndrome of increased intra-cranial pressure without a space-occupying lesion or ventriculomegaly in a patient with normal level of conscience and normal cerebrospinal fluid
Idiopathic Intracranial Hypertension (IIH): Review &
TLDR
A better understanding of the condition, including associated risk factors, clinical presentation and the use of diagnostic modalities is essential in order to derive to a proper diagnosis of IIH.
Idiopathic Intracranial Hypertension and Obesity
TLDR
The emerging, unifying theory of the neuroendocrine effects on the mineralocorticoid receptor to explain a possible mechanism for the increased cerebrospinal fluid production and ICP in secondary PTCS is highlighted.
Idiopathic Intracranial Hypertension and Multiple Sclerosis Overlap
TLDR
A 33-year-old morbidly obese woman who developed progressive worsening blurry vision and unilateral temporal headache was found to have papilledema which prompted workup for intracranial hypertension and findings were suggestive of a demyelinating process such as MS in addition to IIH.
...
...

References

SHOWING 1-10 OF 36 REFERENCES
The search for causes of idiopathic intracranial hypertension. A preliminary case-control study.
Idiopathic intracranial hypertension (pseudotumor cerebri) is a condition that occurs predominantly in obese women. It consists of elevated spinal fluid pressure, normal spinal fluid contents,
Benign intracranial hypertension without papilledema: role of 24-hour cerebrospinal fluid pressure monitoring in diagnosis and management.
TLDR
Nine patients whose history suggested increased intracranial pressure, but whose funduscopic examination did not reveal papilledema, are described, and the findings of computed tomography and isotope cisternography and the response to therapy supported the clinical diagnosis of benign intrac Cranial hypertension (BIH).
Clinical Features of Late-Onset Pseudotumor Cerebri Fulfilling the Modified Dandy Criteria
  • S. Bandyopadhyay, D. Jacobson
  • Medicine
    Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society
  • 2002
TLDR
A modification is proposed that excludes patients who have dural venous sinus disease demonstrated on magnetic resonance imaging and those who may be exposed to medications or toxins or have systemic disorders that are known to increase intracranial pressure.
IDIOPATHIC INTRACRANIAL HYPERTENSION (PSEUDOTUMOR CEREBRI): A REAPPRAISAL
TLDR
All neurologists should be familiar with the symptoms and signs as well as the evaluation and treatment of idiopathic intracranial hypertension, a condition seen in obese women of childbearing age.
Idiopathic intracranial hypertension (pseudotumor cerebri). Descriptive epidemiology in Rochester, Minn, 1976 to 1990.
The medical records-linkage system of the Mayo Clinic was used to identify cases of idiopathic intracranial hypertension in the 15-year period, 1976 through 1990, among the population of Rochester,
Idiopathic intracranial hypertension
TLDR
MRI and MR venography now make it easier to identify venous Sinus occlusion, and increased venous sinus pressure is now hypothesized to be the cause of IIH.
Idiopathic intracranial hypertension without papilledema.
TLDR
Patients with idiopathic intracranial hypertension who did not have papilledema are described and initial management should include removal of possible inciting agents, weight loss if applicable, and standard headache therapy.
Symptoms and disease associations in idiopathic intracranial hypertension (pseudotumor cerebri)
TLDR
It is concluded that previous studies of IIH, mostly uncontrolled and retrospective, have underestimated the frequency of symptoms in IIH patients and reported chance and spurious associations with common medical conditions and medications.
Features of dural sinus thrombosis simulating pseudotumor cerebri
TLDR
It is concluded that DST can be identified in 26% of patients presenting with symptoms and signs typical of PTC, and it may be impossible to differentiate between patients with and without DST if MRI/MRV or angiography are not performed in this scenario.
...
...