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Published on: October 14, 2022
[Idiopathic intracranial hypertension: indication for cerebrospinal fluid shunting]
M Zérah1, C Ginguene, F Di Rocco
1Service de neurochirurgie pédiatrique, hôpital Necker-Enfants-malades, université Paris-V, AP-HP, Paris cedex 15, France. michel.zerah@nck.aphp.fr
Insights
Idiopathic intracranial hypertension (IIH) has defined diagnostic criteria. Cerebrospinal fluid shunting is a common, minimally invasive treatment with few complications.
Area of Science:
- Neurology
- Ophthalmology
Context:
- Idiopathic intracranial hypertension (IIH) diagnosis relies on established criteria.
- Therapeutic strategies for IIH remain under discussion.
Purpose:
- To review the diagnostic criteria and therapeutic options for idiopathic intracranial hypertension.
- To highlight cerebrospinal fluid shunting as a primary treatment modality.
Summary:
- Idiopathic intracranial hypertension is diagnosed using Friedmann and Jacobson criteria, with McGirt et al. criteria also noted.
- Cerebrospinal fluid (CSF) shunting is frequently employed due to its simplicity, non-invasive nature, and low complication rate.
Impact:
- Provides clarity on IIH diagnosis and treatment.
- Supports informed clinical decision-making regarding CSF shunting for IIH management.
Abstract:
Idiopathic intracranial hypertension is clearly defined by the Friedmann and Jacobson criteria, followed by the McGirt et al. criteria. Several therapeutic options are still being debated. Cerebrospinal fluid shunting is the most common treatment, because it is simple, non invasive, and has a low rate of complications.
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