Rapidly Rising Incidence of Cerebrospinal Fluid Shunting Procedures for Idiopathic Intracranial Hypertension in the United States, 1988–2002

@article{Curry2005RapidlyRI,
  title={Rapidly Rising Incidence of Cerebrospinal Fluid Shunting Procedures for Idiopathic Intracranial Hypertension in the United States, 1988–2002},
  author={William T. Curry and William E Butler and Fred G. II Barker},
  journal={Neurosurgery},
  year={2005},
  volume={57},
  pages={97–108}
}
OBJECTIVE:Obesity, a major risk factor for idiopathic intracranial hypertension (IIH), is rapidly increasing in all ages of the United States population. We studied trends in the incidence of cerebrospinal fluid (CSF) shunts for IIH in the United States between 1988 and 2002, using a national hospital discharge database. METHODS:This was a retrospective study using the Nationwide Inpatient Sample and robust weighted least-squares regression, adjusted for stratified survey methodology. RESULTS… 

Figures and Tables from this paper

A comparison of lumboperitoneal and ventriculoperitoneal shunting for idiopathic intracranial hypertension: an analysis of economic impact and complications using the Nationwide Inpatient Sample.
TLDR
The presented results appear to call into question the selection of LP shunt placement as primary treatment for IIH, as this procedure is associated with a significantly greater likelihood of need for shunt revision, increased LOS, and greater overall charges to the health care system.
Idiopathic intracranial hypertension in the USA: the role of obesity in establishing prevalence and healthcare costs
This study documents for the first time the extraordinary costs to take care of patients with a chronic, non‐fatal, relatively rare disorder who have been incorrectly thought to have an insignificant
Shunt freedom and clinical resolution of idiopathic intracranial hypertension after bariatric surgery in the pediatric population: report of 3 cases.
TLDR
A multidisciplinary approach is recommended for IIH treatment with early consideration for weight loss interventions in select patients with adolescent-onset IIH, in whom bariatric surgery was pursued successfully.
Idiopathic Intracranial Hypertension in the Northwest of Northern Ireland: Epidemiology and Clinical Management
TLDR
The incidence of IIH in the northwest of Northern Ireland is among the highest ever reported and probably reflects the known increase in obesity.
Complications of Lumboperitoneal Shunts for Idiopathic Intracranial Hypertension
TLDR
The goals of this study were to understand better the complications and surgical revision rates associated with LP shunt insertion in IIH patients with the objective of providing better information about the different therapeutical option outcomes when counseling for a better informed consent.
Observations regarding failure of cerebrospinal fluid shunts early after implantation.
TLDR
Interestingly, this study is one of few whose data have revealed that race may affect shunt failure after implantation, and shunt Failure due to infection resulted in significantly shorter shunt survival time in non-white patients compared with that in white patients.
Inpatient and Emergency Service Utilization in Patients With Idiopathic Intracranial Hypertension
  • Jagger C. KoernerD. Friedman
  • Medicine
    Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society
  • 2014
TLDR
The ED was commonly used by patients with IIH, with a mean of 2.7 visits per patient, and the ICD-9 code vastly overestimated the number of ED and inpatient encounters attributable to IIH.
Prevalence of idiopathic intracranial hypertension and associated factors in obese children and adolescents
TLDR
In childhood obesity, IIH should be kept in mind as a serious complication and obese children with systemic hypertension and refractory headache should be considered for IIH.
Visual Outcomes from Shunting for Idiopathic Intracranial Hypertension
TLDR
A retrospective notes review was conducted for 50 consecutive patients who underwent shunt surgery for idiopathic intracranial hypertension, finding that shunting can improve visual function in patients with IIH.
Cerebrospinal fluid hydrodynamics in arachnoid cyst patients with persistent idiopathic intracranial hypertension: A case series and review
TLDR
IH associated with AC is a hydrodynamic disorder and the full discovery of its fluctuant pathophysiology is the only way to identify an effective standard for the management and treatment of this condition.
...
...

References

SHOWING 1-10 OF 95 REFERENCES
Epidemiology of idiopathic intracranial hypertension: A prospective and case-control study
Idiopathic Intracranial Hypertension (Pseudotumor Cerebri): Descriptive Epidemiology, Clinical Features, and Visual Outcome in Parma, Italy, 1990 to 1999
TLDR
The incidence of idiopathic intracranial hypertension in Parma, northern Italy is lower than the incidence reported in previous US and Libyan studies, and a significant difference in overweight distribution is observed comparing percentage of body weight between US and Parma populations.
Changing Neurosurgical Workload in the United States, 1988–2001: Craniotomy Other Than Trauma in Adults
TLDR
There is evidence that progressive centralization of DRG 1 admissions took place during the study period, and changes in neurosurgical workload can justify requests for hospital resources and guide planning by neuros surgical training programs.
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,
Epidemiology of Idiopathic Intracranial Hypertension in Israel
  • A. KeslerN. Gadoth
  • Medicine
    Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society
  • 2001
TLDR
The population of Israel is a mixture of people originating from Eastern and Western countries, and the incidence of PTC/IIH was found to be similar to that of Western countries; this finding is an additional support to the notion that PTC /IIH is more common in obese populations.
Idiopathic Intracranial Hypertension in the Pediatric Population
TLDR
The prepubertal group was found to be a distinct group since pseudotumor cerebri/idiopathic intracranial hypertension did not occur predominantly in females and was not associated with obesity.
Benign intracranial hypertension
  • M. Greer
  • Medicine, Psychology
    Neurology
  • 1965
TLDR
This study describes the course of 20 obese females who were admitted to the Columbia-Presbyterian Medical Center and the University of Florida Teaching Hospital because of unlocalized increased intracranial pressure, which was unassociated with focal signs of neural impairment, convulsions, mental dysfunction, or cerebrospinal fluid changes.
Cranial venous outflow obstruction in the pseudotumour syndrome: incidence, nature and relevance
TLDR
It was drawn that there is a high incidence (close to one-third) of venous outflow abnormalities in PTS with detailed investigation, and issues of mechanism and therapy are discussed.
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.
...
...