Idiopathic intracranial hypertension and pregnancy: A comprehensive review of management

Caroline Scott; Chandrasekaran Kaliaperumal

doi:10.1016/j.clineuro.2022.107240

Idiopathic intracranial hypertension and pregnancy: A comprehensive review of management

Clin Neurol Neurosurg. 2022 Jun:217:107240. doi: 10.1016/j.clineuro.2022.107240. Epub 2022 Apr 13.

Authors

Caroline Scott¹, Chandrasekaran Kaliaperumal²

Affiliations

¹ Department of Clinical Neurosciences, Royal Infirmary of Edinburgh, Edinburgh, UK. Electronic address: caroline.scott4@nhs.scot.
² Department of Clinical Neurosciences, Royal Infirmary of Edinburgh, Edinburgh, UK.

PMID: 35461091
DOI: 10.1016/j.clineuro.2022.107240

Abstract

The management of IIH during pregnancy is a topic of clinical importance and it may pose a management challenge as most cases of IIH occur in women of childbearing age. Although there is a consensus that pregnant women with IIH should be treated similarly to non-pregnant patients, there are uncertainties regarding optimal management. This review aims to analyse current evidence and literature to help guide management of IIH during pregnancy. It is recommended that pregnant women with IIH are treated in health care settings that have access to multi-specialty input to optimise treatment. The management depends on disease severity with a treatment paradigm that encompasses conservative, medical and surgical management.

Keywords: Idiopathic Intracranial hypertension; Pregnancy; Pseudotumor cerebri.

Publication types

Review

MeSH terms

Female
Humans
Intracranial Hypertension* / diagnosis
Intracranial Hypertension* / therapy
Pregnancy
Pseudotumor Cerebri* / diagnosis
Pseudotumor Cerebri* / therapy
Severity of Illness Index