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Related Experiment Videos

Benign intracranial hypertension.

J L Susman1

  • 1Department of Family Practice, University of Nebraska Medical Center, Omaha 68105.

The Journal of Family Practice
|March 1, 1990
PubMed
Summary

Benign intracranial hypertension, also known as pseudotumor cerebri, causes increased pressure within the skull, leading to headaches and vision problems. Diagnosis involves imaging and lumbar puncture, with treatment focusing on underlying causes and symptom management.

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Area of Science:

  • Neurology
  • Ophthalmology

Background:

  • Benign intracranial hypertension (BIH), or pseudotumor cerebri, is a neurological disorder characterized by elevated intracranial pressure.
  • It classically manifests with symptoms such as headaches and visual disturbances.

Observation:

  • Physical examination typically reveals papilledema, indicating swelling of the optic disc.
  • Diagnostic confirmation relies on neuroimaging (CT or MRI) showing normal results and a significantly elevated opening pressure during lumbar puncture.

Findings:

  • Treatment strategies are multifaceted, addressing potential underlying causes and managing hypertension.
  • Medication withdrawal, repeated lumbar punctures, diuretic therapy, and surgical interventions are employed as needed.

Implications:

  • BIH requires careful, long-term monitoring, including regular visual field testing.
  • Effective management is crucial to prevent irreversible visual impairment and neurological complications.

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