Abortion, Anemia, and an Account of Idiopathic Intracranial Hypertension: A Case Report

Introduction: Idiopathic intracranial hypertension is a rare but serious cause of headache. Prompt diagnosis and treatment is needed to prevent permanent neurologic sequelae. Case Report: We present a case of a 32-year-old female with multiple emergency department visits for a headache after having...

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Main Authors: Chelsey Miller, Raphael Sherak
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2025-06-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/5wz850vs
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author Chelsey Miller
Raphael Sherak
author_facet Chelsey Miller
Raphael Sherak
author_sort Chelsey Miller
collection DOAJ
description Introduction: Idiopathic intracranial hypertension is a rare but serious cause of headache. Prompt diagnosis and treatment is needed to prevent permanent neurologic sequelae. Case Report: We present a case of a 32-year-old female with multiple emergency department visits for a headache after having a medical termination of pregnancy. She was found to have severe anemia, retained products of conception, and radiographic findings suggestive of idiopathic intracranial hypertension, which was confirmed by an elevated opening pressure on lumbar puncture. Her symptoms improved after transfusion of packed red blood cells, initiation of acetazolamide and corticosteroids, and manual uterine evacuation. She was ultimately discharged without any neurologic deficits. Conclusion: Idiopathic intracranial hypertension is a rare but serious cause of headache, and anemia is an underappreciated precipitating factor. The hormonal changes associated with pregnancy may further predispose patients to this rare medical condition, especially in the setting of vaginal bleeding.
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spelling doaj-art-a9ebbe2bf86944d3bc82b48df0bcd7222025-08-20T03:02:53ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2025-06-019331431710.5811/cpcem.39958cpcem-9-314Abortion, Anemia, and an Account of Idiopathic Intracranial Hypertension: A Case ReportChelsey Miller0Raphael Sherak1Yale University Department of Emergency Medicine, New Haven, ConnecticutYale University Department of Emergency Medicine, New Haven, ConnecticutIntroduction: Idiopathic intracranial hypertension is a rare but serious cause of headache. Prompt diagnosis and treatment is needed to prevent permanent neurologic sequelae. Case Report: We present a case of a 32-year-old female with multiple emergency department visits for a headache after having a medical termination of pregnancy. She was found to have severe anemia, retained products of conception, and radiographic findings suggestive of idiopathic intracranial hypertension, which was confirmed by an elevated opening pressure on lumbar puncture. Her symptoms improved after transfusion of packed red blood cells, initiation of acetazolamide and corticosteroids, and manual uterine evacuation. She was ultimately discharged without any neurologic deficits. Conclusion: Idiopathic intracranial hypertension is a rare but serious cause of headache, and anemia is an underappreciated precipitating factor. The hormonal changes associated with pregnancy may further predispose patients to this rare medical condition, especially in the setting of vaginal bleeding.https://escholarship.org/uc/item/5wz850vs
spellingShingle Chelsey Miller
Raphael Sherak
Abortion, Anemia, and an Account of Idiopathic Intracranial Hypertension: A Case Report
Clinical Practice and Cases in Emergency Medicine
title Abortion, Anemia, and an Account of Idiopathic Intracranial Hypertension: A Case Report
title_full Abortion, Anemia, and an Account of Idiopathic Intracranial Hypertension: A Case Report
title_fullStr Abortion, Anemia, and an Account of Idiopathic Intracranial Hypertension: A Case Report
title_full_unstemmed Abortion, Anemia, and an Account of Idiopathic Intracranial Hypertension: A Case Report
title_short Abortion, Anemia, and an Account of Idiopathic Intracranial Hypertension: A Case Report
title_sort abortion anemia and an account of idiopathic intracranial hypertension a case report
url https://escholarship.org/uc/item/5wz850vs
work_keys_str_mv AT chelseymiller abortionanemiaandanaccountofidiopathicintracranialhypertensionacasereport
AT raphaelsherak abortionanemiaandanaccountofidiopathicintracranialhypertensionacasereport