Volume : VII, Issue : V, May - 2017

Outcome of 30 patients with Idiopathic Intracranial Hypertension (IIH) – Role of therapeutic lumbar puncture in a tertiary hospital in South Tamil Nadu

K. Ganesan, Jason Ambrose F

Abstract :

IIH is defined as raised intracranial pressure without ventricular enlargement or intra cranial mass on imaging, with normal cereospinal fluid constituents.Options for treatment of IIH include weight reduction, avoidance of OCPs, steroids, drugs for reducing CSF production like acetazolamide, anticonvulsant topiramate and for refractory cases, optic nerve fenestration in patients with impending visual loss and lumboperitoneal shunt surgery for patients with refractory headaches. 30 patients with IIH were studied and their outcome were followed for 1 year duration. Optimal medical management was beneficial in most of the patients with IIH. 4 out of 30 patients were refractory to medical line of management, were referred for shunt surgery. Therapeutic lumbar puncture was helpful in patients who are symptomatic inspite of optimal medical management and awaiting surgery. Abeviations: (IIH – Idiopathic intracranial hypertension, CSF – Cereospinal fluid, OCP– Oral contraceptive pills, CVT– Cereal venous thrombosis, LP– Lumbar puncture) Address for correspondence: Dr. K. Ganesan, MD, DM, Department of Neurology, Governement Rajaji Hospital,   Madurai.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

K. Ganesan, Jason Ambrose F, Outcome of 30 patients with Idiopathic Intracranial Hypertension (IIH) – Role of therapeutic lumbar puncture in a tertiary hospital in South Tamil Nadu, INDIAN JOURNAL OF APPLIED RESEARCH : Volume‾7 | Issue‾5 | May‾2017

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