Management of Idiopathic Intracranial Hypertension During the COVID-19 Pandemic.
Rev Recent Clin Trials
; 16(2): 122-125, 2021.
Article
in English
| MEDLINE | ID: covidwho-1264271
ABSTRACT
BACKGROUND:
In the current coronavirus disease 2019 (COVID-19) pandemic, health systems are struggling to prioritize care for affected patients; however, physicians globally are also attempting to maintain care for other less-threatening medical conditions that may lead to permanent disabilities if untreated. Idiopathic intracranial hypertension (IIH) is a relatively common condition affecting young females that could lead to permanent blindness if not properly treated. In this article, we provide some insight and recommendations regarding the management of IIH during the pandemic.METHODS:
The diagnosis, follow-up, and treatment methods of IIH during the COVID-19 pandemic period are reviewed. COVID-19, as a mimic of IIH, is also discussed.RESULTS:
Diagnosis and follow-up of papilledema due to IIH during the COVID-19 pandemic can be facilitated by nonmydriatic fundus photography and optical coherence tomography. COVID-19 may mimic IIH by presenting as cerebral venous sinus thrombosis, papillophlebitis, or meningoencephalitis, so a high index of suspicion is required in these cases. When surgical treatment is indicated, optic nerve sheath fenestration may be the primary procedure of choice during the pandemic period.CONCLUSION:
IIH is a serious vision-threatening condition that could lead to permanent blindness and disability at a relatively young age if left untreated. It could be the first presentation of a COVID-19 infection. Certain precautions during the diagnosis and management of this condition could be taken that may allow appropriate care to be delivered to these patients while minimizing the risk of coronavirus infection.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pseudotumor Cerebri
/
COVID-19
Type of study:
Cohort study
/
Diagnostic study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Rev Recent Clin Trials
Journal subject:
Medicine
/
Therapeutics
Year:
2021
Document Type:
Article
Affiliation country:
1574887115666200917111413
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