İntrakranial Hipertansiyonlu Olguların Değerlendirilmesi

2012 
Objective: In this study clinical findings of patients, who diagnosed with IIH in Duzce UnivesityResearch and Teaching Hospital Neurology Clinic were investigated.Materials and Methods: Treatment and follow-up of 23 patients were examined with diagnosisof IIH from the records. The study was based on modified Dandy criteria. The patients whowere performed lumbar puncture and were done cranial imaging included in the study.Results: The patients diagnosed with IIH were 78.3% female and 21.7% male. The mostcommon reason for admission was headache and it was accompanied by blurred vision, visualof limitation, temporary loss of vision, eye pain, double vision, nausea, dislike of light, dizzinessand tinnitus. 60.9% of the patients were obese. Five patients without papilledema were diagnosedwith IIH. The cranial imagings were in normal limits except for empty cella. In treatment, thepatients were given acetozolamide, methylprednisolone and/or topiramate. The follow-up periodwas arranged in 3-6 months. In the process, there were not any patients who had loss of vision.Conclusion: Continuity in atypical cases of headache, if they have obesity, there should befurther examination in mind of an IIH diagnosis. Early diagnosis and treatment are import toprevent the possible loss of vision
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