Idiopathic intracranial hypertension explained : a guide for patients and families / Kyle M. Fargen.

Format:

Book

Author/Creator:

Fargen, Kyle M., author.

Language:

English

Subjects (All):

Intracranial hypertension.

Genre:

Electronic books.

Physical Description:

1 online resource : color illustrations

Place of Publication:

Cham : Springer, [2021]

System Details:

text file

Summary:

This book provides a valuable guide to understanding idiopathic intracranial hypertension (IIH), which is a very complex and painful disease. It is a chronic, often disabling condition resulting in headaches, visual loss, and ringing in the ears. This condition was thought to be rare but is becoming much more common, especially as the population becomes more overweight. Patients with this condition often suffer from intractable headaches with poor quality of life. Very few physicians specialize in this condition, and as a result, there is almost no information or resources available to those trying to understand this condition. The text is designed to take very complex neurosurgical anatomy, principles, and treatments and reduce them down into simple principles. The book contains 12 chapters, each organized into distinct sections. All chapters also contain key points from those paragraphs to summarize useful take home messages. Written by an expert specializing in this debilitating condition, Idiopathic Intracranial Hypertension Explained serves as a valuable guide towards understanding and treating IIH. The ultimate goal is to empower patients and families with knowledge about the disease.

Contents:

Intro

Preface

Acknowledgments

Contents

Chapter 1: Introduction

Chapter 2: Basic Brain Anatomy and Physiology

The Brain and its Fluid

The Flow of Brain Fluid

The Reabsorption of Brain Fluid Is into Veins

Brain Veins

Blood Pressure: Arteries Vs. Veins

Cerebrospinal Fluid Reabsorption Is Dependent on Venous Sinus Pressures

What Are Normal Venous Sinus Pressures?

Venous Sinus Pressures Are Not Uniform throughout the Brain

IIH Is Due to High Venous Sinus Pressures

Hydrocephalus Is Not the Same as IIH

Intracranial Pressure and CSF Pressure

Normal Intracranial Pressures (ICP)

References

Chapter 3: Idiopathic Intracranial Hypertension (IIH)

Diagnosis

Presentation

Common Symptoms

Headache

Visual Symptoms

Papilledema and Visual Loss

Light Sensitivity

Pulsatile Tinnitus

"Brain Fog"

Cerebrospinal Fluid Leak (Rhinorrhea or Otorrhea)

Other Symptoms

Symptoms Are Worsened by Weather Changes

Symptoms Are Often Related to Intracranial Pressure

Distinguishing ICP That Is Too High (Hyper) vs. Too Low (Hypo)

Ehlers-Danlos Syndrome

Chapter 4: The Fundamental Reasons Patients Get IIH

IIH Is Actually Not Idiopathic

Venous Pressures in the Body and the Brain

Normal Venous Pressures in the Body and Brain

Venous Pressures in the Body and Brain When CVP Is High

Venous Narrowing ("Stenosis")

Why Does Venous Sinus Stenosis Occur?

What Triggers the Positive Feedback Loop to Start?

Vein Narrowing May Occur at More Than One Site

The Pressure Gradient

Venous Congestion and Collaterals

Venous Sinus Thrombosis

Confusion Between Thrombosis and Aplasia

Other Causes of High Venous Pressures

Not All IIH Patients Are the Same

IIH Links to Medications or Surgeries

General Treatment Strategies

IIH Is a Chronic Condition

Chapter 5: Understanding Your Brain Imaging

Imaging in IIH

CT Scan

MRI Scan

MRV and CTV

Brain Imaging Findings You May See in Your Report

Empty Sella

Optic Hydrops or Distention of Optic Nerve Sheath

Venous Sinus Stenosis

Chiari Malformation

Collapsed Ventricle

Pneumocephalus

Cerebral Edema

Bone Dehiscence

Metal Artifact

Chapter 6: Measuring Intracranial Pressure

Obtaining Intracranial Pressure Measurements

Lumbar Puncture (Spinal Tap)

The Basic Principles

Who Performs this Procedure?

Procedural Location

What to Expect: Pre-procedure

What to Expect: During the Procedure

What to Expect: Post-procedure

Complications

Lumbar Drain Placement

What to Expect: Before the Procedure

What to Expect: After the Procedure

Intracranial Pressure Monitor (Bolt) Placement

Procedural Location

Notes:

Includes bibliographical references and index.

Online resource; title from PDF title page (SpringerLink, viewed August 26, 2021).

ISBN:

9783030800420

3030800423

OCLC:

1264458891

Access Restriction:

Restricted for use by site license.