CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2020; 9(02): 085-088
DOI: 10.1055/s-0040-1710107
Original Article

Management of Idiopathic Intracranial Hypertension: Experience of a North African Center

Ibrahim Assoumane
1  Department of Neurosurgery, CHU Bab El Oued, Algiers, Algeria
2  Department of Neurosurgery, Maradi Reference Hospital, Niger Republic
,
Mahdia Touati
1  Department of Neurosurgery, CHU Bab El Oued, Algiers, Algeria
,
Harissou Adamou
3  Department of General Surgery, Faculty of Health Sciences, University of Zinder, National Hospital, Zinder, Niger Republic
,
Nadia Lagha
1  Department of Neurosurgery, CHU Bab El Oued, Algiers, Algeria
,
Ibrahim Baaré
4  Department of Ophthalmology, Maradi Reference Hospital, Niger Republic
,
Samuila Sanoussi
5  Department of Neurosurgery, Niamey National Hospital, Niger Republic
,
Abderahmanne Sidi Said
1  Department of Neurosurgery, CHU Bab El Oued, Algiers, Algeria
,
Abdelhalim Morsli
1  Department of Neurosurgery, CHU Bab El Oued, Algiers, Algeria
› Author Affiliations
  

Abstract

Background The idiopathic intracranial hypertension (IIH) is characterized by elevation of intracranial pressure (ICP) in the absence of intracerebral space occupation or venous sinus thrombosis. It usually occurs in obese young women but is very rare in childhood.

Materials and Methods We conducted a retrospective study in the neurosurgical department of Bab El Oued teaching hospital of Algiers over a period of 8 years from January 2008 to December 2015. We analyzed clinical data of 10 patients with IIH diagnosis, and the surgical technique consisted of an insertion of a lumbo-peritoneal shunt.

Results In our study, 80% were women with sex ratio M/F of 0.25; the mean age was 32 years and 60% of our patients were obese. For most of our patients, the postoperative outcome was marked by the disappearance of the headache immediately, disappearance of strabismus and diplopia in the following week, followed by improvement of visual function.

Conclusion The IIH is predominantly a disease of women in the childbearing age; surgical treatment is a good option for patients who resisted medication or did not tolerate it as well as for ICH fulminous in emergency cases.



Publication History

Publication Date:
15 June 2020 (online)

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