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Idiopathic Intracranial Hypertension: Pre- and Post-treatment Radiologic Analyses
José Diogo Martins1,2, Pedro Mesquita3, Joana Alves Costa4
1Internal Medicine, Unidade Local de Saúde do Alto Minho, Viana do Castelo, PRT.
Cureus
|January 13, 2025
Summary
Idiopathic intracranial hypertension (IIH) can cause vision loss and headaches. Prompt diagnosis and acetazolamide treatment effectively resolved symptoms in a young female patient.
Area of Science:
- Neurology
- Ophthalmology
Background:
- Idiopathic intracranial hypertension (IIH) is a neurological disorder characterized by increased intracranial pressure without an identifiable cause.
- It commonly affects women of childbearing age and can lead to significant visual impairment.
Observation:
- A 19-year-old female presented with symptoms of pressure headaches and progressive vision loss.
- Diagnostic evaluations, including CT, MRI, and lumbar puncture, were performed.
Findings:
- Imaging and lumbar puncture results were consistent with a diagnosis of idiopathic intracranial hypertension (IIH).
- Treatment with acetazolamide effectively reduced intracranial pressure and alleviated the patient's symptoms.
Implications:
- This case highlights the importance of timely diagnosis and medical management of IIH.
- Acetazolamide is an effective therapeutic option for managing IIH and preventing vision loss.
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