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Surgical and endovascular interventions in idiopathic intracranial hypertension

Arielle Spitze1, Amina Malik, Andrew G Lee

  • 1aDepartment of Ophthalmology, Houston Methodist Hospital, Houston, Texas bDepartment of Ophthalmology, University of Cincinnati College of Medicine, Cincinnati, Ohio cDepartments of Ophthalmology, Neurology, and Neurosurgery, Weill Cornell Medical College, Houston, Texas dDepartment of Ophthalmology, The University of Iowa Hospitals and Clinics, Iowa City, Iowa eDepartment of Ophthalmology, Baylor College of Medicine, Houston fDepartment of Ophthalmology, The University of Texas Medical Branch, Galveston gUT MD Anderson Cancer Center, Houston, Texas, USA.

Current Opinion in Neurology
|December 4, 2013
PubMed

Insights

Idiopathic intracranial hypertension (IIH) management may involve surgery when medical treatments fail. This review compares surgical and endovascular options for IIH, including shunts, optic nerve sheath fenestration, and venous sinus stenting.

Area of Science:

  • Neurology
  • Ophthalmology
  • Neurosurgery

Background:

  • Idiopathic intracranial hypertension (IIH) is a serious condition that can lead to blindness.
  • Surgical intervention is considered when medical management of IIH proves insufficient.

Purpose of the Study:

  • To review and synthesize current literature on surgical and endovascular treatments for IIH.
  • To compare and contrast the various surgical management strategies available for IIH.

Main Methods:

  • Literature review of surgical and endovascular treatments for IIH.
  • Analysis of current practices and emerging procedures.

Main Results:

  • Common surgical options include cerebrospinal fluid diversion (shunts) and optic nerve sheath fenestration.
  • Emerging treatments involve venous sinus stenting and bariatric surgery.
  • Cranial decompression remains an option for specific cases.

Conclusions:

  • The choice of initial surgical treatment for IIH remains a subject of debate.
  • This review provides a comprehensive overview of surgical management options for IIH.
Abstract

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