Pseudotumor cerebri risk factors: Difference between revisions

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===== Age and gender =====
===== Age and gender =====
Most of the IIH cases happen in women in child bearing age (9 uptodate), but it can also happens in children and old adult with male gender. In prepubertal age the gender is not an important risk factor and in old patients the percent of affected males was higher than females.(16-29 uptodate)
Most of the IIH cases happen in women in child bearing age (9 uptodate), but it can also happens in children and old adult with male gender. In prepubertal age the gender is not an important risk factor and in old patients the percent of affected males was higher than females.<ref name="pmid9534686">{{cite journal |vauthors=Soler D, Cox T, Bullock P, Calver DM, Robinson RO |title=Diagnosis and management of benign intracranial hypertension |journal=Arch. Dis. Child. |volume=78 |issue=1 |pages=89–94 |date=January 1998 |pmid=9534686 |pmc=1717437 |doi= |url=}}</ref><ref name="pmid11937898">{{cite journal |vauthors=Bandyopadhyay S, Jacobson DM |title=Clinical features of late-onset pseudotumor cerebri fulfilling the modified dandy criteria |journal=J Neuroophthalmol |volume=22 |issue=1 |pages=9–11 |date=March 2002 |pmid=11937898 |doi= |url=}}</ref>


===== Obesity =====
===== Obesity =====
Some evidences suggest that onesity can increase intra abdominal and intra cranial pressure and have a role in pathogenesis of IHH.(89)
Some evidences suggest that onesity can increase intra abdominal and intra cranial pressure and have a role in pathogenesis of IHH.<ref name="pmid2310315">{{cite journal |vauthors=Ireland B, Corbett JJ, Wallace RB |title=The search for causes of idiopathic intracranial hypertension. A preliminary case-control study |journal=Arch. Neurol. |volume=47 |issue=3 |pages=315–20 |date=March 1990 |pmid=2310315 |doi= |url=}}</ref>


===== Positive family history (15 upto) =====
===== Positive family history<ref name="pmid24756302">{{cite journal |vauthors=Wall M, Kupersmith MJ, Kieburtz KD, Corbett JJ, Feldon SE, Friedman DI, Katz DM, Keltner JL, Schron EB, McDermott MP |title=The idiopathic intracranial hypertension treatment trial: clinical profile at baseline |journal=JAMA Neurol |volume=71 |issue=6 |pages=693–701 |date=June 2014 |pmid=24756302 |pmc=4351808 |doi=10.1001/jamaneurol.2014.133 |url=}}</ref> =====


===== Medications =====
===== Medications =====
* growth hormones: Development of IIH in result of GH therapy mostly happens in one year of medication initiation, but it can also develop after several years of treatment. witj stoping the use of GH, symptoms of IIH will improve.(35-38 upto)
* growth hormones: Development of IIH in result of GH therapy mostly happens in one year of medication initiation, but it can also develop after several years of treatment. witj stoping the use of GH, symptoms of IIH will improve.<ref name="pmid10366091">{{cite journal |vauthors=Rogers AH, Rogers GL, Bremer DL, McGregor ML |title=Pseudotumor cerebri in children receiving recombinant human growth hormone |journal=Ophthalmology |volume=106 |issue=6 |pages=1186–9; discussion 1189–90 |date=June 1999 |pmid=10366091 |doi=10.1016/S0161-6420(99)90266-X |url=}}</ref><ref name="pmid16496267">{{cite journal |vauthors=Vischi A, Guerriero S, Giancipoli G, Lorusso V, Sborgia G |title=Delayed onset of pseudotumor cerebri syndrome 7 years after starting human recombinant growth hormone treatment |journal=Eur J Ophthalmol |volume=16 |issue=1 |pages=178–80 |date=2006 |pmid=16496267 |doi= |url=}}</ref>


* Minocycline(39)
* Minocycline<ref name="pmid15675888">{{cite journal |vauthors=Friedman DI |title=Medication-induced intracranial hypertension in dermatology |journal=Am J Clin Dermatol |volume=6 |issue=1 |pages=29–37 |date=2005 |pmid=15675888 |doi= |url=}}</ref>
* Doxycycline(39)
* Doxycycline<ref name="pmid15675888">{{cite journal |vauthors=Friedman DI |title=Medication-induced intracranial hypertension in dermatology |journal=Am J Clin Dermatol |volume=6 |issue=1 |pages=29–37 |date=2005 |pmid=15675888 |doi= |url=}}</ref>
* vitamin A(39)
* vitamin A<ref name="pmid15675888">{{cite journal |vauthors=Friedman DI |title=Medication-induced intracranial hypertension in dermatology |journal=Am J Clin Dermatol |volume=6 |issue=1 |pages=29–37 |date=2005 |pmid=15675888 |doi= |url=}}</ref>


===== Systemib illness =====
===== Systemib illness =====
* Addison disease(68)
* Addison disease<ref name="pmid8238233">{{cite journal |vauthors=Alexandrakis G, Filatov V, Walsh T |title=Pseudotumor cerebri in a 12-year-old boy with Addison's disease |journal=Am. J. Ophthalmol. |volume=116 |issue=5 |pages=650–1 |date=November 1993 |pmid=8238233 |doi= |url=}}</ref>
* Hypoparathyroidism(69)
* Hypoparathyroidism<ref name="pmid3690435">{{cite journal |vauthors=Sheldon RS, Becker WJ, Hanley DA, Culver RL |title=Hypoparathyroidism and pseudotumor cerebri: an infrequent clinical association |journal=Can J Neurol Sci |volume=14 |issue=4 |pages=622–5 |date=November 1987 |pmid=3690435 |doi= |url=}}</ref>
* Sever anemia(14)
* Sever anemia<ref name="pmid20513819">{{cite journal |vauthors=Bruce BB, Kedar S, Van Stavern GP, Corbett JJ, Newman NJ, Biousse V |title=Atypical idiopathic intracranial hypertension: normal BMI and older patients |journal=Neurology |volume=74 |issue=22 |pages=1827–32 |date=June 2010 |pmid=20513819 |pmc=2882219 |doi=10.1212/WNL.0b013e3181e0f838 |url=}}</ref>
* Sleep apnea(14)
* Sleep apnea<ref name="pmid20513819">{{cite journal |vauthors=Bruce BB, Kedar S, Van Stavern GP, Corbett JJ, Newman NJ, Biousse V |title=Atypical idiopathic intracranial hypertension: normal BMI and older patients |journal=Neurology |volume=74 |issue=22 |pages=1827–32 |date=June 2010 |pmid=20513819 |pmc=2882219 |doi=10.1212/WNL.0b013e3181e0f838 |url=}}</ref>
* SLE(75)
* SLE<ref name="pmid18320479">{{cite journal |vauthors=Dave S, Longmuir R, Shah VA, Wall M, Lee AG |title=Intracranial hypertension in systemic lupus erythematosus |journal=Semin Ophthalmol |volume=23 |issue=2 |pages=127–33 |date=2008 |pmid=18320479 |doi=10.1080/08820530801888188 |url=}}</ref>
* Behcet’s syndrome(78)
* Behcet’s syndrome<ref name="pmid12460143">{{cite journal |vauthors=Celebisoy N, Seçil Y, Akyürekli O |title=Pseudotumor cerebri: etiological factors, presenting features and prognosis in the western part of Turkey |journal=Acta Neurol. Scand. |volume=106 |issue=6 |pages=367–70 |date=December 2002 |pmid=12460143 |doi= |url=}}</ref>
* Polycystic ovary syndrome(80)
* Polycystic ovary syndrome<ref name="pmid12878984">{{cite journal |vauthors=Glueck CJ, Iyengar S, Goldenberg N, Smith LS, Wang P |title=Idiopathic intracranial hypertension: associations with coagulation disorders and polycystic-ovary syndrome |journal=J. Lab. Clin. Med. |volume=142 |issue=1 |pages=35–45 |date=July 2003 |pmid=12878984 |doi=10.1016/S0022-2143(03)00069-6 |url=}}</ref>
* Coagulation disorders(80)
* Coagulation disorders<ref name="pmid12878984">{{cite journal |vauthors=Glueck CJ, Iyengar S, Goldenberg N, Smith LS, Wang P |title=Idiopathic intracranial hypertension: associations with coagulation disorders and polycystic-ovary syndrome |journal=J. Lab. Clin. Med. |volume=142 |issue=1 |pages=35–45 |date=July 2003 |pmid=12878984 |doi=10.1016/S0022-2143(03)00069-6 |url=}}</ref>
* Uremia(84)
* Uremia<ref name="pmid1525975">{{cite journal |vauthors=Chang D, Nagamoto G, Smith WE |title=Benign intracranial hypertension and chronic renal failure |journal=Cleve Clin J Med |volume=59 |issue=4 |pages=419–22 |date=1992 |pmid=1525975 |doi= |url=}}</ref>


=== Less common risk factors ===
=== Less common risk factors ===
drugs such as:
drugs such as:
* thyroxin(23)
* thyroxin<ref name="pmid1475750">{{cite journal |vauthors=Lessell S |title=Pediatric pseudotumor cerebri (idiopathic intracranial hypertension) |journal=Surv Ophthalmol |volume=37 |issue=3 |pages=155–66 |date=1992 |pmid=1475750 |doi= |url=}}</ref>
* corticosteroid withdrawal(29)
* corticosteroid withdrawal<ref name="pmid11937898">{{cite journal |vauthors=Bandyopadhyay S, Jacobson DM |title=Clinical features of late-onset pseudotumor cerebri fulfilling the modified dandy criteria |journal=J Neuroophthalmol |volume=22 |issue=1 |pages=9–11 |date=March 2002 |pmid=11937898 |doi= |url=}}</ref>
* lithium(60)
* lithium<ref name="pmid7962691">{{cite journal |vauthors=Ames D, Wirshing WC, Cokely HT, Lo LL |title=The natural course of pseudotumor cerebri in lithium-treated patients |journal=J Clin Psychopharmacol |volume=14 |issue=4 |pages=286–7 |date=August 1994 |pmid=7962691 |doi= |url=}}</ref>
* nalidixic acid(24)
* nalidixic acid<ref name="pmid9262557">{{cite journal |vauthors=Scott IU, Siatkowski RM, Eneyni M, Brodsky MC, Lam BL |title=Idiopathic intracranial hypertension in children and adolescents |journal=Am. J. Ophthalmol. |volume=124 |issue=2 |pages=253–5 |date=August 1997 |pmid=9262557 |doi= |url=}}</ref>
* nitrofurantoin(65)
* nitrofurantoin<ref name="pmid843266">{{cite journal |vauthors=Mushet GR |title=Pseudotumor and nitrofurantoin therapy |journal=Arch. Neurol. |volume=34 |issue=4 |pages=257 |date=April 1977 |pmid=843266 |doi= |url=}}</ref>


==References==
==References==

Revision as of 16:25, 28 July 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

Risk Factors

The most potent risk factors in the development of IHH are:

Common risk factors

Age and gender

Most of the IIH cases happen in women in child bearing age (9 uptodate), but it can also happens in children and old adult with male gender. In prepubertal age the gender is not an important risk factor and in old patients the percent of affected males was higher than females.[1][2]

Obesity

Some evidences suggest that onesity can increase intra abdominal and intra cranial pressure and have a role in pathogenesis of IHH.[3]

Positive family history[4]
Medications
  • growth hormones: Development of IIH in result of GH therapy mostly happens in one year of medication initiation, but it can also develop after several years of treatment. witj stoping the use of GH, symptoms of IIH will improve.[5][6]
Systemib illness
  • Addison disease[8]
  • Hypoparathyroidism[9]
  • Sever anemia[10]
  • Sleep apnea[10]
  • SLE[11]
  • Behcet’s syndrome[12]
  • Polycystic ovary syndrome[13]
  • Coagulation disorders[13]
  • Uremia[14]

Less common risk factors

drugs such as:

References

  1. ↑ Soler D, Cox T, Bullock P, Calver DM, Robinson RO (January 1998). "Diagnosis and management of benign intracranial hypertension". Arch. Dis. Child. 78 (1): 89–94. PMC 1717437. PMID 9534686.
  2. ↑ 2.0 2.1 Bandyopadhyay S, Jacobson DM (March 2002). "Clinical features of late-onset pseudotumor cerebri fulfilling the modified dandy criteria". J Neuroophthalmol. 22 (1): 9–11. PMID 11937898.
  3. ↑ Ireland B, Corbett JJ, Wallace RB (March 1990). "The search for causes of idiopathic intracranial hypertension. A preliminary case-control study". Arch. Neurol. 47 (3): 315–20. PMID 2310315.
  4. ↑ Wall M, Kupersmith MJ, Kieburtz KD, Corbett JJ, Feldon SE, Friedman DI, Katz DM, Keltner JL, Schron EB, McDermott MP (June 2014). "The idiopathic intracranial hypertension treatment trial: clinical profile at baseline". JAMA Neurol. 71 (6): 693–701. doi:10.1001/jamaneurol.2014.133. PMC 4351808. PMID 24756302.
  5. ↑ Rogers AH, Rogers GL, Bremer DL, McGregor ML (June 1999). "Pseudotumor cerebri in children receiving recombinant human growth hormone". Ophthalmology. 106 (6): 1186–9, discussion 1189–90. doi:10.1016/S0161-6420(99)90266-X. PMID 10366091.
  6. ↑ Vischi A, Guerriero S, Giancipoli G, Lorusso V, Sborgia G (2006). "Delayed onset of pseudotumor cerebri syndrome 7 years after starting human recombinant growth hormone treatment". Eur J Ophthalmol. 16 (1): 178–80. PMID 16496267.
  7. ↑ 7.0 7.1 7.2 Friedman DI (2005). "Medication-induced intracranial hypertension in dermatology". Am J Clin Dermatol. 6 (1): 29–37. PMID 15675888.
  8. ↑ Alexandrakis G, Filatov V, Walsh T (November 1993). "Pseudotumor cerebri in a 12-year-old boy with Addison's disease". Am. J. Ophthalmol. 116 (5): 650–1. PMID 8238233.
  9. ↑ Sheldon RS, Becker WJ, Hanley DA, Culver RL (November 1987). "Hypoparathyroidism and pseudotumor cerebri: an infrequent clinical association". Can J Neurol Sci. 14 (4): 622–5. PMID 3690435.
  10. ↑ 10.0 10.1 Bruce BB, Kedar S, Van Stavern GP, Corbett JJ, Newman NJ, Biousse V (June 2010). "Atypical idiopathic intracranial hypertension: normal BMI and older patients". Neurology. 74 (22): 1827–32. doi:10.1212/WNL.0b013e3181e0f838. PMC 2882219. PMID 20513819.
  11. ↑ Dave S, Longmuir R, Shah VA, Wall M, Lee AG (2008). "Intracranial hypertension in systemic lupus erythematosus". Semin Ophthalmol. 23 (2): 127–33. doi:10.1080/08820530801888188. PMID 18320479.
  12. ↑ Celebisoy N, Seçil Y, Akyürekli O (December 2002). "Pseudotumor cerebri: etiological factors, presenting features and prognosis in the western part of Turkey". Acta Neurol. Scand. 106 (6): 367–70. PMID 12460143.
  13. ↑ 13.0 13.1 Glueck CJ, Iyengar S, Goldenberg N, Smith LS, Wang P (July 2003). "Idiopathic intracranial hypertension: associations with coagulation disorders and polycystic-ovary syndrome". J. Lab. Clin. Med. 142 (1): 35–45. doi:10.1016/S0022-2143(03)00069-6. PMID 12878984.
  14. ↑ Chang D, Nagamoto G, Smith WE (1992). "Benign intracranial hypertension and chronic renal failure". Cleve Clin J Med. 59 (4): 419–22. PMID 1525975.
  15. ↑ Lessell S (1992). "Pediatric pseudotumor cerebri (idiopathic intracranial hypertension)". Surv Ophthalmol. 37 (3): 155–66. PMID 1475750.
  16. ↑ Ames D, Wirshing WC, Cokely HT, Lo LL (August 1994). "The natural course of pseudotumor cerebri in lithium-treated patients". J Clin Psychopharmacol. 14 (4): 286–7. PMID 7962691.
  17. ↑ Scott IU, Siatkowski RM, Eneyni M, Brodsky MC, Lam BL (August 1997). "Idiopathic intracranial hypertension in children and adolescents". Am. J. Ophthalmol. 124 (2): 253–5. PMID 9262557.
  18. ↑ Mushet GR (April 1977). "Pseudotumor and nitrofurantoin therapy". Arch. Neurol. 34 (4): 257. PMID 843266.

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