Multidisciplinary management of idiopathic intracranial hypertension in pregnancy: case series and narrative review

Idiopathic intracranial hypertension (IIH) is a neurological condition characterized by raised intracranial pressure of unknown etiology with normal cerebrospinal fluid (CSF) composition and no brain lesions. It occurs in pregnant patients at approximately the same frequency as in general population...

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Main Authors: Sara Alves, Natacha Sousa, Lu.ísa Cardoso, Joana Alves
Format: Article
Language:English
Published: Elsevier 2022-11-01
Series:Brazilian Journal of Anesthesiology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0104001421000956
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author Sara Alves
Natacha Sousa
Lu.ísa Cardoso
Joana Alves
author_facet Sara Alves
Natacha Sousa
Lu.ísa Cardoso
Joana Alves
author_sort Sara Alves
collection DOAJ
description Idiopathic intracranial hypertension (IIH) is a neurological condition characterized by raised intracranial pressure of unknown etiology with normal cerebrospinal fluid (CSF) composition and no brain lesions. It occurs in pregnant patients at approximately the same frequency as in general population, but obstetric and anesthetic management of the pregnancy and labor remains controversial. In this article we provide a multidisciplinary review of the main aspects of IIH in pregnancy including treatment options, mode of delivery and anesthetic techniques. Additionally, we report three cases of pregnant women diagnosed with IIH between 2012 and 2019 in our institution.
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spelling doaj.art-408cb99b8a934d6f82b3206cfbb855f82022-12-22T04:11:32ZengElsevierBrazilian Journal of Anesthesiology0104-00142022-11-01726790794Multidisciplinary management of idiopathic intracranial hypertension in pregnancy: case series and narrative reviewSara Alves0Natacha Sousa1Lu.ísa Cardoso2Joana Alves3Hospital de Braga, Anesthesiology Department, Braga, Portugal; Corresponding author.Hospital de Braga, Gynecology and Obstetrics Department, Braga, PortugalHospital de Braga, Gynecology and Obstetrics Department, Braga, PortugalHospital de Braga, Anesthesiology Department, Braga, PortugalIdiopathic intracranial hypertension (IIH) is a neurological condition characterized by raised intracranial pressure of unknown etiology with normal cerebrospinal fluid (CSF) composition and no brain lesions. It occurs in pregnant patients at approximately the same frequency as in general population, but obstetric and anesthetic management of the pregnancy and labor remains controversial. In this article we provide a multidisciplinary review of the main aspects of IIH in pregnancy including treatment options, mode of delivery and anesthetic techniques. Additionally, we report three cases of pregnant women diagnosed with IIH between 2012 and 2019 in our institution.http://www.sciencedirect.com/science/article/pii/S0104001421000956Idiopathic intracranial hypertensionPregnancyCesarean sectionLabor analgesiaAnesthesia
spellingShingle Sara Alves
Natacha Sousa
Lu.ísa Cardoso
Joana Alves
Multidisciplinary management of idiopathic intracranial hypertension in pregnancy: case series and narrative review
Brazilian Journal of Anesthesiology
Idiopathic intracranial hypertension
Pregnancy
Cesarean section
Labor analgesia
Anesthesia
title Multidisciplinary management of idiopathic intracranial hypertension in pregnancy: case series and narrative review
title_full Multidisciplinary management of idiopathic intracranial hypertension in pregnancy: case series and narrative review
title_fullStr Multidisciplinary management of idiopathic intracranial hypertension in pregnancy: case series and narrative review
title_full_unstemmed Multidisciplinary management of idiopathic intracranial hypertension in pregnancy: case series and narrative review
title_short Multidisciplinary management of idiopathic intracranial hypertension in pregnancy: case series and narrative review
title_sort multidisciplinary management of idiopathic intracranial hypertension in pregnancy case series and narrative review
topic Idiopathic intracranial hypertension
Pregnancy
Cesarean section
Labor analgesia
Anesthesia
url http://www.sciencedirect.com/science/article/pii/S0104001421000956
work_keys_str_mv AT saraalves multidisciplinarymanagementofidiopathicintracranialhypertensioninpregnancycaseseriesandnarrativereview
AT natachasousa multidisciplinarymanagementofidiopathicintracranialhypertensioninpregnancycaseseriesandnarrativereview
AT luisacardoso multidisciplinarymanagementofidiopathicintracranialhypertensioninpregnancycaseseriesandnarrativereview
AT joanaalves multidisciplinarymanagementofidiopathicintracranialhypertensioninpregnancycaseseriesandnarrativereview