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 contribution | Idiopathic intracranial hypertension and obesity |
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Original language | Dutch |
Pages (from-to) | 1159-1165 |
Number of pages | 7 |
Journal | Nederlands Tijdschrift voor Geneeskunde |
Volume | 159 |
Issue number | 2 |
Publication status | Published - 2015 |