A Case Study on Idiopathic Intracranial Hypertension Management and Outcome.

ABSTRACT

Background: Pseudo Tumor Cerebri (PTC), also knownby the name Idiopathic Intracranial Hypertension (IIH),is a disorder with increased intracranial pressure (ICP) andassociated headache, nausea, vomiting, transient visualobscuration, double-vision, and visual field defects.Material and methods: Thirty-four cases of idiopathicintracranial hypertension reported to our institute, all reportedpeople are female, and all are over twenty years of age, witha diagnosis of IIH according to the Modified dandy criteriawere included and treated medically with oral acetazolamideat a dose of 500 mg/day.Results: All patients are started on oral acetazolamide 250 mgtwice daily; all patients got resolved of fundus changes andnerve palsy with the therapy within three months of follow up.Conclusions: In this study, administration of low doses ofacetazolamide 250mg twice daily for a duration of 3 monthsfor all the patients, and there were no signs of recurrenceafter cessation of acetazolamide and in the further followup. Acetazolamide plays an important role in cases of IIH forits best outcome. Early diagnosis and early treatment withacetazolamide gave good outcomes in all cases of IdiopathicIntracranial Hypertension.