Can Lumbar Puncture Be Safely Deferred in Patients With Mild Presumed Idiopathic Intracranial Hypertension?

Update Item Information
Title Can Lumbar Puncture Be Safely Deferred in Patients With Mild Presumed Idiopathic Intracranial Hypertension?
Creator Amir R. Vosoughi; Edward A. Margolin; Jonathan A. Micieli
Affiliation Rady Faculty of Health Sciences (ARV), Max Rady College of Medicine, University of Manitoba, Winnipeg, Canada; Department of Ophthalmology and Vision Sciences (EAM, JAM), University of Toronto, Toronto, Canada; Division of Neurology (EAM, JAM), Department of Medicine, University of Toronto, Toronto, Canada; and Kensington Vision and Research Centre (JAM), Kensington Health, Toronto, Canada
Abstract Lumbar puncture (LP) is considered an essential component of the diagnosis of idiopathic intracranial hypertension (IIH) and ruling out IIH mimics, such as meningeal inflammation and neoplastic disease. Such mimics are unlikely in patients who are systemically well and fit the clinical demographic of IIH. It is important to take into account the risks of performing a LP as patients commonly experience mild adverse effects and infrequently more serious ones including psychological distress. LP can also be difficult to obtain in some health care settings, requiring inpatient admission. We examined the clinical course of a subset of presumed patients with IIH with mild vision loss and papilledema to determine whether LP can be safely deferred in this group.
Subject Intracranial Hypertension; Papilledema; Pseudotumor Cerebri; Retrospective Studies; Spinal Puncture; Optical Coherence Tomography; Young Adult
OCR Text Show
Date 2022-12
Date Digital 2022-12
References 1. Thurtell MJ. Idiopathic intracranial hypertension. Continuum (Minneap Minn). 2019;25:1289-1309. 2. Mollan SP, Davies B, Silver NC, Shaw S, Mallucci CL, Wakerley BR, Krishnan A, Chavda SV, Ramalingam S, Edwards J, Hemmings K, Williamson M, Burdon MA, Hassan-Smith G, Digre K, Liu GT, Jensen RH, Sinclair AJ. Idiopathic intracranial hypertension: consensus guidelines on management. J Neurol Neurosurg Psychiatry. 2018;89:1088-1100. 3. Friedman DI, Liu GT, Digre KB. Revised diagnostic criteria for the pseudotumor cerebri syndrome in adults and children. Neurology. 2013;81:1159-1165. 4. Yu CW, Peragallo JH, Micieli JA. Primary leptomeningeal lymphoma: a rare mimicker of idiopathic intracranial hypertension. Can J Neurol Sci. 2021;48:440-442. 5. Ravid S, Shachor-Meyouhas Y, Shahar E, Kra-Oz Z, Kassis I. Viral-induced intracranial hypertension mimicking pseudotumor cerebri. Pediatr Neurol. 2013;49:191-194.
Language eng
Format application/pdf
Type Text
Publication Type Journal Article
Source Journal of Neuro-Ophthalmology, December 2022, Volume 42, Issue 4
Collection Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/
Publisher Lippincott, Williams & Wilkins
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management © North American Neuro-Ophthalmology Society
ARK ark:/87278/s65gjd8f
Setname ehsl_novel_jno
ID 2392969
Reference URL https://collections.lib.utah.edu/ark:/87278/s65gjd8f
Back to Search Results