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Doctor insights on: Alternative Treatments For Benign Intracranial Hypertension

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I have swollen optic nerves but why was I diagnosed with benign intracranial hypertension even though my opening pressure was normal at 15?

I have swollen optic nerves but why was I diagnosed with benign intracranial hypertension even though my opening pressure was normal at 15?

Other reasons: There can be other reasons for this as well. As a side note, was the lumbar puncture done while you were on medications, could be a false negative. I would follow up with ophthalmologist for very good dilated exam and formal visual fields testing. ...Read more

Dr. Sanjiv Kaul
324 Doctors shared insights

Hypertension (Definition)

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


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I am taking Doxycycline and experiencing headache and light headedness. Could it be the medicine? Could it be 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

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Had my idiopathic intracranial hypertension came back?

Had my idiopathic intracranial hypertension came back?

Pseudotumor cerebri: This is a serious disorder and there are a number of treatments available including medication to reduce the pressure. There is also a surgical procedure that requires placing a tube in the spine canal and diverting excess spinal fluid into the abdomen. If you are seeing a neurologist for this the various options can be explained more fully ...Read more

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What are the signs and symptoms of idiopathic intracranial hypertension?

What are the signs and symptoms of idiopathic intracranial hypertension?

Hypertesnion: Most common symptoms are headaches, if the pressure gets high visual blurriness and visual loss can also occur. ...Read more

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Should a patient with intracranial hypertension be checked for stenosis before being shunted?

Should a patient with intracranial hypertension be checked for stenosis before being shunted?

ComplexHighRiskIssue: Seemingly simple questions often do not have simple & accurate answers. While I work to provide accurate & reasonably thorough answers (look for yourself), unfortunately, you have offered far too little information (no insult intended) about the individual & situation in question to even know where to begin without strong odds of offering irrelevant or even potentially harmful answers. ...Read more

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What is idiopathic intracranial hypertension (also known as pseudotumor cerebri)?

Pseudotumor: Is caused by an imbalance of CSF production vs. Resorption. The list of causes is lengthy. Low Vit A or iron, elevated Vit A, female gender, obesity or weight gain, tetracycline exposure, obstructive sleep apnea and endocrinologic disorders are contributory. The headaches are typically mild to moderate, diffuse and worsen with reclining. There may be blurring of vision or diplopia. ...Read more

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What can you tell me about the ventriculoperitoneal shunt used for intracranial hypertension and hydrocephaly?

What can you tell me about the ventriculoperitoneal shunt used for intracranial hypertension and hydrocephaly?

Pressure outlet: The shunt relieves the pressure that can build up in the head in this condition. While the shunt is not without risks, untreated hydrocephaly can lead to worsened cognitive problems and even be life threatening (depending on age). ...Read more

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Is it possible that my idiopathic intracranial hypertension is caused by lupus? I have been diagnosed with both.

Is it possible that my idiopathic intracranial hypertension is caused by lupus? I have been diagnosed with both.

Pseudotumor: Idiopathic intracranial hypertension is associated with obesity, use of some medications and cerebral venous sinus thrombosis. Lupus usually does not cause pseudotumor (IIH). However, lupus may have increased clotting tendency which may lead to venous sinus thrombosis and IIH. ...Read more

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Where is the location of a headache from intracranial hypertension? I have a headache on the top of my head, its not bad just feels tight and achy?

Where is the location of a headache from intracranial hypertension? I have a headache on the top of my head, its not bad just feels tight and achy?

All over: It's all over but you can't diagnose ich by the location of a headache since it's non-specific and much more common causes produce headaches in the same location. ...Read more

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I have idiopathic intracranial hypertension. I checked my BP during a headache and it was 130/117. Is this normal. It's the diastolic that seems weird?

I have idiopathic intracranial hypertension. I checked my BP during a headache and it was 130/117. Is this normal. It's the diastolic that seems weird?

High BP: You are correct, the 117 is high. However, a number of factors contribute to bp, and pain is one of them. When you are suffering with pain, especially severe pain, BP readings usually elevate. If you have no history of hypertension, you should take your BP at about the same time over multiple days and record it. Without a headache your BP should be normal. Then take BP with headache and compare. ...Read more

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Is pseudo-tumo cerebri and intracranial hypertension the same thing?

Is pseudo-tumo cerebri and intracranial hypertension the same thing?

Benign: Pseudo tumor cerebri and benign intracranial hypertension are similar. They often present with obesity and a severe confusing headache. The pressure can be damaging to the eyes and cause sight impairment so while it can be treated, it needs to be picked up early. ...Read more

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What're the tests for idiopathic intracranial hypertension?

What're the tests for idiopathic intracranial hypertension?

Spinal tap: The most direct test is to measure pressure in the spinal fluid. This is done with a spinal tap and pressure measuring column. The fluid column is measured, and then the fluid is drained off. Just draining the fluid can relieve symptoms. Analysis of the fluid would rule out more serious conditions. This procedure is easily performed in a doctor's office or emergency room. ...Read more

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Do you know anything on idiopathic intracranial hypertension?

PseudoTumor Cerebri: Also called Benign Intracranial Hypertension or Psedotumo Cerebri
It is a neurological disorder in ehich there is increased Intracranial Pressure when there is no tumor other disease
Symptoms are Headache Nausea and Vomiting and pulsating sounds in the ears, double vision. It can lead to swelling of theoptic nerve if not treated&loss of vision
Diagnosed by Brain Scan&LP
Treated with rpt LPs& Diamox (acetazolamide) ...Read more

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Does visual acuity decrease in cases of intracranial hypertension?

Sometimes: Many times patients develop transient obscurations of vision, or brief episodes of blurry vision. These are temporary if treatment ensues promptly. Long term high intracranial pressure can produce permanent defects in vision due to damage of the optic nerve. This condition needs to be closely monitored by both neurologists and ophthalmologists. ...Read more

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What are the kinds of tests used for idiopathic intracranial hypertension?

What are the kinds of tests used for idiopathic intracranial hypertension?

Spinal tap: The neurologic exam and the history obtained by the neurologist are the starting point. Examination of the eyes and the fundi of the eye can give information about whether or not there is pressure transmitted to the optic apparatus. Ct scans or mris rule out any mass lesion or obstructive hydrocephalus.A spinal tap is done to document the CSF pressure and if there is any relief with removal of csf. ...Read more

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CAN INTRACRANIAL HYPERTENSION BE CAUSED IN NON-OBESE PEOPLE. AND IF YES, THEN WHAT ARE THE CAUSES?

Intracranial HTN: Primary Aldosteronism is one reported cause. So if you have high blood pressure ask your team to test for this. Need 24 hr urine for Na K and creatinine and plasma renin activity and plasm aldosterone test. ...Read more

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With patients diagnosed with idiopathic intracranial hypertension, what gets done?

With patients diagnosed with idiopathic intracranial hypertension, what gets done?

Pseudotumor cerebri: The treatment is based on diagnosis and the amount of pressure plus visual issues and more importantly visual loss - the treatment plan is typically put together with a neurologist and a neurosurgeon working together. ...Read more

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What's the difference between hydrocephalus and idiopathic intracranial hypertension?

Hydrocephalus or IIH: Hydrocephalus usually refers to a condition in which the cerebrospinal (CSF) fluid that surrounds the brain becomes trapped in the ventricles where much of this fluid is stored and the ventricles become dilated. There are many known causes. Iih is a condition in which the pressure is increased in the head but the ventricles are not dilated. The cause of iih remains less clear. ...Read more

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What is idiopathic intracranial hypertension and what can it cause left sided headaches?

What is idiopathic intracranial hypertension and what can it cause left sided headaches?

IIH: It's a disorder where elevated pressure in the head can cause vision loss & headache. Left-sided headaches suggest migraine more than IIH. If IIH, headache should be worst upon awakening. Diagnosis shouldn't be made without seeing an ophthalmologist to confirm papilledema and to perform Humphrey Visual Fields. I have patients see ophtho before doing spinal tap. I'm available for consults. ...Read more

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How does derivation ventricle peritoneal used for hydrocephalus or intracranial hypertension work?

How does derivation ventricle peritoneal used for hydrocephalus or intracranial hypertension work?

Possibly vp shunt: I am not certain of the terms you are using. However hydrocephalus and intracranial hypertension can be treated with ventriculoperitoneal shunt where excess fluid inn brain is shunted through tubing to the abdomen where it is absorbed from the peritoneal surface. ...Read more

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Can you tell me operation of derivation ventricle peritoneal used for hydrocephalous or intracranial hypertension?

Unclear question: Read this, not sure what you're asking but the answer is likely in this:

http://www. Hydroassoc. Org/hydrocephalus-education-and-support/learning-about-hydrocephalus/shunts/ ...Read more

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Can you tell me about the experienced of ventriculoperitoneal shunt used for intracranial hypertension and hydrocephalous?

Can you tell me about the experienced of ventriculoperitoneal shunt used for intracranial hypertension and hydrocephalous?

Effective: Ventriculoperitoneal shunts have been used for decades. They are safe and effective. However they have to be monitored to assure the do not malfunction. ...Read more

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Can visual acuity decreases in case of intracranial hypertension (iih or bih)?

Absolutely: Optic nerve damage leading to visual impairment or blindness can be caused by intracranial hypertension. This is why it is essential that an ophthalmologist is involved with the management of this disorder. ...Read more

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Does Idiopathic intracranial hypertension become worse or better with barometric pressure change?

Possible: The condition causes a fluid filled cavity inside your brain to have excess fluid. Similar to sinus pressure the fluid is effected by barometric presdure. ...Read more

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Could a RECURRING clot in my dural venous sinuses be causing my 3year history of idiopathic intracranial hypertension?

Probably not: A dural venous sinus thrombosis is a life threatening illness. It is rare to see it outside of head trauma, the thrombotic complications of pregnancy or severe chronic sinusitis. The thrombus can be imaged on an MRV scan. IIH, most commonly stays as IIH. See your neurologist to ease your fears. Best wishes for good health. ...Read more

Raised Intracranial Pressure (Definition)

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