Idiopathic (Benign) Intracranial Hypertension

By Malcolm P. Berger, M.D.

Tuesday, June 29, 2004

Venous stenting 2003 CS

Theory of venous stenosis. helped 7/12 patients

Treatment 2003 CS

Lumboperitoneal shunting if diamox fails.

Surgical weight loss 1995 CS

Effective and safe

Shunting 1996 CS

Long term followup of lumboperitoneal shunting. Good treatment for most patients.

Shunting 1988 CS

Percutaneous lumboperitoneal shunt is best first choice

Optic nerve sheath fenestration 1998 CS

Long term results are generally good

Optic nerve sheath fenestration 1986 CS

Best choice if significant visual symptoms reported

IVSM Diamox 1994 CS

250 mg qid x 5 days of methylprednisolone + diamox helpful in 3/4 patients

CPAP 2002 CS

Men with BIH may have sleep apnea syndrome and may resolve with CPAP

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