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Related Experiment Videos

Sleep disorders: a risk factor for pseudotumor cerebri?

D M Marcus1, J Lynn, J J Miller

  • 1Department of Ophthalmology, Medical College of Georgia, Augusta 30912, USA. dmarcus@mail.mcg.edu

Journal of Neuro-Ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society
|July 14, 2001
PubMed
Summary

Sleep-related breathing disorders are common in patients with idiopathic intracranial hypertension (IIH). Obesity is prevalent in these patients, suggesting a potential link to IIH and sleep apnea. Further evaluation for sleep issues is recommended for IIH patients with sleep disturbances.

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Area of Science:

  • Neurology
  • Sleep Medicine
  • Ophthalmology

Background:

  • Idiopathic intracranial hypertension (IIH) is a neurological condition affecting cerebrospinal fluid pressure.
  • Sleep-related breathing disorders (SRBDs) can impact overall health and neurological function.
  • The relationship between IIH and SRBDs requires further investigation.

Purpose of the Study:

  • To investigate the prevalence of sleep-related breathing disorders in patients diagnosed with idiopathic intracranial hypertension.
  • To explore potential contributing factors, such as obesity, in patients with both IIH and SRBDs.

Main Methods:

  • A retrospective review of medical records for 53 patients with IIH was conducted.
  • Thirty-seven patients reporting snoring, sleep difficulties, or daytime somnolence were identified.

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  • Polysomnography data were analyzed to assess for apneas, hypopneas, and arousals.

    • Main Results:

    • Of 37 symptomatic IIH patients, 14 underwent polysomnography.
    • The study population consisted of 12 women and 2 men, aged 24-58, with a mean age of 39.4 years.
    • Obesity was common (mean BMI 46.0), with diagnoses including sleep apnea (6 patients) and upper airway resistance syndrome (7 patients).

    Conclusions:

    • Sleep-related breathing problems are frequently observed in patients with idiopathic intracranial hypertension.
    • Obesity is a common comorbidity and may play a role in the development of both SRBDs and IIH.
    • IIH patients experiencing sleep disturbances warrant evaluation for underlying sleep-related breathing disorders.