Idiopathic intracranial hypertension (IIH): other surgical treatments

Evidence-based neurology checklist on idiopathic intracranial hypertension (iih): other surgical treatments: Optic nerve sheath fenestration (ONSF) This is considered especially if visual symptoms occur without headache It improves visual loss and papilloedema in most cases The effect is bilateral…

Optic nerve sheath fenestration (ONSF)

  • This is considered especially if visual symptoms occur without headache
  • It improves visual loss and papilloedema in most cases
  • The effect is bilateral even if it is done unilaterally

Bariatric surgery

References

  1. Corbett JJ, Nerad JA, Tse DT, Anderson RL. Results of optic nerve sheath fenestration for pseudotumor cerebri. The lateral orbitotomy approach. Arch Ophthalmol 1988; 106:1391-1397.
  2. Alsuhaibani AH, Carter KD, Nerad JA, Lee AG. Effect of optic nerve sheath fenestration on papilledema of the operated and the contralateral nonoperated eyes in idiopathic intracranial hypertension. Ophthalmology 2011; 118:412-414.
  3. Manfield JH, Yu KK, Efthimiou E, Darzi A, Athanasiou T, Ashrafian H. Bariatric surgery or non-surgical weight loss for idiopathic intracranial hypertension? a systematic review and comparison of meta-analyses. Obes Surg 2017; 27:513-521.
  4. Fridley, J, Foroozan, R, Sherman, V, Brandt, ML, and Yoshor, D. Bariatric surgery for the treatment of idiopathic intracranial hypertension. J Neurosurgery 2011; 114:34-39.
  5. Abott S, Chan F, Tahrani AA. Weight management interventions for adults with idiopathic intracranial hypertension: a systematic review and practice recommendations. Neurology 2023; 101:e2138-e2150.
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