Idiopathische intracraniële hypertensie bij obesitas

Translated title of the contribution: Idiopathic intracranial hypertension and obesity

M. Tirza Naarden, Alie Schuitemaker, Hilde M.H. Braakman, Tristan P.C. van Doormaal, Giorgio L. Porro, J. S.Rob Straver

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

BACKGROUND: Idiopathic intracranial hypertension (IIH) is a neurological syndrome characterized by elevated intracranial pressure in the absence of intracerebral abnormalities or hydrocephalus.

CASE DESCRIPTION: A 17-year-old girl gained more than 25 kg in weight during treatment with risperidone and subsequently developed headache, diplopia and loss of vision due to IIH. After insertion of a ventriculoperitoneal drain and discontinuation of risperidone she lost weight and her symptoms improved. Her visual functions recovered almost fully during follow-up.

CONCLUSION: Patients with IIH are mainly overweight young women who present with raised intracranial pressure evidenced by headache, nausea, vomiting and vision disturbances. Prescribed medication-induced weight gain may lead to IIH. Treatment of IIH should be focused on the prevention of severe and irreversible loss of vision.

Translated title of the contributionIdiopathic intracranial hypertension and obesity
Original languageDutch
Pages (from-to)1159-1165
Number of pages7
JournalNederlands Tijdschrift voor Geneeskunde
Volume159
Issue number2
Publication statusPublished - 2015

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