Doctor insights on:
Alternative Treatments For Benign Intracranial Hypertension
I am taking Doxycycline and experiencing headache and light headedness. Could it be the medicine? Could it be Benign Intracranial Hypertension?
Yes: If you have blurred vision or worsening of a diffuse headache with reclining I would be concerned about Pseudotumor. We usually see loss of spontaneous venous pulsations in the back of the eye on exam. A lumbar puncture with an opening pressure of greater than 20 CM H2O is typically seen. Removal of some CSF should get rid of symptoms. Look for other causes. Diamox, Topamax (topiramate) and Zonegran can help. ...Read more
A blood pressure reading has two numbers: a systolic blood pressure and a diastolic blood pressure. The systolic blood pressure is the maximum pressure the blood exerts on the vessels when the heart is beating. The diastolic blood pressure is the pressure the blood exerts on the vessels in between heartbeats. Hypertension, or high blood pressure, begins when the systolic blood pressure remains above 140 or when the diastolic blood pressure remains above 90. Hypertension can be a result of increased blood flow through vessels or increased resistance to ...Read more
Should i Try Oral Route Glycerol for treatment of my Intercranial hypertension before I try something more toxic like Topiramate?
Huh? Come Again?: I'm not sure I quite understand. Who recommended oral glycerol to treat intracranial hypertension? That is a highly antiquated form of treatment for IIH. Results are poor. Nobody recommends that first line anymore. Weight loss is better than glycerol to treat IIH. Diamox is the standard drug of choice for IIH followed by Lasix then, possibly steroids. Topamax (topiramate)? For headaches? Poor efficacy. ...Read more
Reduce it!: True rise in intra cranial pressure is serious it is evidenced by headache, nausea and vomiting , swelling of the optic discs and sometimes altered mental status. There is a relatively benign condition called benign intracranial hypertension ( otherwise known as psuedotumor cerebri) with different causes that is relieved by taking cerebrospinal fluid through a lumbar puncture. ...Read moreSee 1 more doctor answer
Is it normal for benign Intercranial hypertension symptoms to significantly improve for weeks/months then worsen progressively?
Yes : Symptoms may vary in intensity at different times ...Read more
Without papiledema, is my benign intercranial hypertension unlikely to make me go blind? Other SX are bad but eyesight ok so far. Please help.
Unlikely: Most commonly papilloedema from idiopathic intracranial hypertension (IIH) causes the natural blind spot that everyone has in their vision to be slightly larger. Most of the patients I see are still 20/20. It is reassuring that your eye exams are coming back normal. Continue follow up with your ophthalmologist and the team managing your IIH. Missing check ups is a hazard. Good luck. ...Read more
All persons have pressure in their brain fluid that can vary with position, respiration, bearing down, cough, etc. However, if the fluid pressure is very high, it can cause pressure on structures in and around the brain. The most sensitive test is the spinal tap with pressure monitor that can measure in mm of mercury or cm of water. For high pressures the ...Read more
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