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Idiopathic intracranial hypertension: a series of 6 patients

Poster Details

First Author: Z.Arnaudovski MACEDONIA

Co Author(s):    B. Kostovska   K. Shisharica                 

Abstract Details


The aim of this study was to evaluate the clinical features of the patients with idiopathic intracranial hypertension (IIH) diagnosed in our clinic, according to the current knowledge of this disorder.


Sistina Ophthalmology, Skopje, Macedonia


Six patients were diagnosed with IIP in our clinic. Five of them were females and one was male. Mean age at diagnosis was 35 years, ranging from 15 to 51. We collected data from questionnaires, examinations, automated Goldmann primetry and fundoscopy. Each patient had general medical, ophthalmologic and neurologic history and examination, OCT, laboratory work up, magnetic resonance imaging, and a lumbal punction (LP). One patient underwent unilateral optic nerve sheath fenestration (ONSF). All patients met the modified Dandy criteria.


The most frequent clinical signs were headache and visual field loss found in all of the patient. A partial arcuate visual defect with an enlarged blind spot was the most common perimetric finding. Lumbal punction and cerebrospinal fluid (CSF) analysis was made in each patient and all findings were normal except for increased opening pressure. Cerebral MRI did not show any abnormalities in all patients. Through history taking, clinical examination, and normal MRI or CT scans, diagnose of IIH was made. The patient that underwent unilateral ONSF had improvement in the clinical findings at her last documented follow up.


There are many challenges that need to be explored in future research on the diagnosis and treatment of this relatively common syndrome. Loss of visual function is common and patients may progress to blindness if untreated. When there is vision loss besides medical therapy, surgery should be considered. Therefore, multidisciplinary approach between ophthalmology, neurology and neurosurgery is essential to prevent permanent visual loss.

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