IIH, SIH and headache: Diagnosis and treatment update
Idiopathic intracranial hypertension (IIH) and spontaneous intracranial hypotension (SIH) are two major secondary headache disorders resulting from abnormal intracranial pressure (ICP). This short communication outlines the pathophysiology, diagnostic criteria, and management strategies for IIH and...
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| Language: | English |
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Elsevier
2024-12-01
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| Series: | eNeurologicalSci |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S240565022400039X |
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| author | Shuu-Jiun Wang |
| author_facet | Shuu-Jiun Wang |
| author_sort | Shuu-Jiun Wang |
| collection | DOAJ |
| description | Idiopathic intracranial hypertension (IIH) and spontaneous intracranial hypotension (SIH) are two major secondary headache disorders resulting from abnormal intracranial pressure (ICP). This short communication outlines the pathophysiology, diagnostic criteria, and management strategies for IIH and SIH. IIH predominantly affects obese women of childbearing age and presents with daily headaches, visual disturbances, and papilledema. It is characterized by elevated cerebrospinal fluid (CSF) pressure, with diagnosis supported by imaging and lumbar puncture. Treatment includes weight reduction, medications, and surgical interventions in refractory cases. SIH, conversely, is caused by spontaneous spinal CSF leaks and presents with acute orthostatic headaches. Diagnosis is supported by neuroimaging and lumbar puncture, revealing low CSF pressure. Treatment includes supported care, (targeted) epidural blood patch, with surgical repair considered in refractory cases. Advances in imaging and treatment have significantly improved outcomes for both conditions. |
| format | Article |
| id | doaj-art-79aef72053a04bbe97df0e6c75b70124 |
| institution | OA Journals |
| issn | 2405-6502 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | eNeurologicalSci |
| spelling | doaj-art-79aef72053a04bbe97df0e6c75b701242025-08-20T02:31:47ZengElseviereNeurologicalSci2405-65022024-12-013710053210.1016/j.ensci.2024.100532IIH, SIH and headache: Diagnosis and treatment updateShuu-Jiun Wang0Brain Research Center, National Yang Ming Chiao Tung University, Taipei, Taiwan; College of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan; Department of Neurology, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan; Corresponding author at: Brain Research Center, National Yang Ming Chiao Tung University, Taipei, Taiwan.Idiopathic intracranial hypertension (IIH) and spontaneous intracranial hypotension (SIH) are two major secondary headache disorders resulting from abnormal intracranial pressure (ICP). This short communication outlines the pathophysiology, diagnostic criteria, and management strategies for IIH and SIH. IIH predominantly affects obese women of childbearing age and presents with daily headaches, visual disturbances, and papilledema. It is characterized by elevated cerebrospinal fluid (CSF) pressure, with diagnosis supported by imaging and lumbar puncture. Treatment includes weight reduction, medications, and surgical interventions in refractory cases. SIH, conversely, is caused by spontaneous spinal CSF leaks and presents with acute orthostatic headaches. Diagnosis is supported by neuroimaging and lumbar puncture, revealing low CSF pressure. Treatment includes supported care, (targeted) epidural blood patch, with surgical repair considered in refractory cases. Advances in imaging and treatment have significantly improved outcomes for both conditions.http://www.sciencedirect.com/science/article/pii/S240565022400039XIdiopathic intracranial hypertensionSpontaneous intracranial hypotensionIntracranial pressureCerebrospinal fluidSecondary headache |
| spellingShingle | Shuu-Jiun Wang IIH, SIH and headache: Diagnosis and treatment update eNeurologicalSci Idiopathic intracranial hypertension Spontaneous intracranial hypotension Intracranial pressure Cerebrospinal fluid Secondary headache |
| title | IIH, SIH and headache: Diagnosis and treatment update |
| title_full | IIH, SIH and headache: Diagnosis and treatment update |
| title_fullStr | IIH, SIH and headache: Diagnosis and treatment update |
| title_full_unstemmed | IIH, SIH and headache: Diagnosis and treatment update |
| title_short | IIH, SIH and headache: Diagnosis and treatment update |
| title_sort | iih sih and headache diagnosis and treatment update |
| topic | Idiopathic intracranial hypertension Spontaneous intracranial hypotension Intracranial pressure Cerebrospinal fluid Secondary headache |
| url | http://www.sciencedirect.com/science/article/pii/S240565022400039X |
| work_keys_str_mv | AT shuujiunwang iihsihandheadachediagnosisandtreatmentupdate |