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Titolo:
Idiopathic intracranial hypertension: Mechanisms of visual loss and disease management
Autore:
Wall, M;
Indirizzi:
Univ Iowa, Coll Med, Dept Neurol, Iowa City, IA 52242 USA Univ Iowa Iowa City IA USA 52242 ed, Dept Neurol, Iowa City, IA 52242 USA
Titolo Testata:
SEMINARS IN NEUROLOGY
fascicolo: 1, volume: 20, anno: 2000,
pagine: 89 - 95
SICI:
0271-8235(2000)20:1<89:IIHMOV>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
NERVE SHEATH DECOMPRESSION; INDUCED WEIGHT-LOSS; OPTIC DISK EDEMA; PSEUDOTUMOR CEREBRI; UNILATERAL PAPILLEDEMA; PRESSURE; FENESTRATION; PATHOGENESIS;
Keywords:
pseudotumor cerebri; intracranial hypertension; visual loss;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
44
Recensione:
Indirizzi per estratti:
Indirizzo: Wall, M Univ Iowa, Coll Med, Dept Neurol, 200 Hawkins Dr, Iowa City, IA 52242 USA Univ Iowa 200 Hawkins Dr Iowa City IA USA 52242 City, IA 52242 USA
Citazione:
M. Wall, "Idiopathic intracranial hypertension: Mechanisms of visual loss and disease management", SEM NEUROL, 20(1), 2000, pp. 89-95

Abstract

Idiopathic intracranial hypertension (IIH) is a disorder of increased intracranial pressure of unknown cause. it is a disorder, predominantly of overweight women in the childbearing years. The major morbidity of the disease is visual loss. Damage to the visual system occurs at the optic nerve head. This damage is most likely due to axoplasm flow stasis and resultant intraneuronal ischemia. Management of IIH begins with educating the patient about the disease and its potential outcomes. I recommend modest dieting and following a low-salt regimen with caution against overuse of fluids. Acetazolamide and Lasix appear to be efficacious. Patients failing medical therapy have optic nerve sheath fenestration performed if visual toss is the main morbidity. Shunting procedures are considered if headache is the main symptom. Most patients respond well to therapy, but idiopathic intracranial hypertension may recur throughout life.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 00:40:07