Abstract
Idiopathic intracranial hypertension (IIH) is a syndrome of elevated intracranial pressure with normal CSF composi-tion and no evidence of hydrocephalus or mass lesion. We describe the anesthetic management of a parturient with IIH who required multiple lumbar punctures during pregnancy and delivery secondary to worsening neurological symp-toms.
Highlights
Idiopathic intracranial hypertension (IIH) formerly known as pseudotumor cerebri or benign intracranial hypertension is a syndrome of elevated intracranial pressure with normal CSF composition and no evidence of hydrocephalus or mass lesion
We describe the anesthetic management of a parturient with IIH who required multiple lumbar punctures during pregnancy and delivery secondary to worsening neurological symptoms
We describe the anesthetic management of a young woman with IIH during her second pregnancy that required multiple lumbar punctures throughout the pregnancy secondary to worsening neurological symptoms
Summary
Idiopathic intracranial hypertension (IIH) formerly known as pseudotumor cerebri or benign intracranial hypertension is a syndrome of elevated intracranial pressure with normal CSF composition and no evidence of hydrocephalus or mass lesion. It is typically seen in obese women of childbearing age with an incidence of 19.3 per 100,000. Most common presentations include headache, transient visual obscurations and pulsatile tinnitus. Other symptoms such as neck pain, photopsia, shoulder or back discomfort, nausea and vomiting reflecting meningeal irritation may be present. We describe the anesthetic management of a young woman with IIH during her second pregnancy that required multiple lumbar punctures throughout the pregnancy secondary to worsening neurological symptoms
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