| Clinical characterization of idiopathic intracranial hypertension at the Detroit Medical Center. | |
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MedLine Citation:
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PMID: 15337617 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Idiopathic intracranial hypertension (IIH), also known as pseudotumor cerebri (PTC), is a condition characterized by increased intracranial pressure without clinical, laboratory or radiologic evidence of an intracranial space-occupying lesion, meningeal inflammation or venous outflow obstruction. Previous population-based studies evaluated the presenting clinical features of IIH in North-Eastern Libya, Iowa, Louisiana, Minnesota, Northern Ireland, Israel and Western Turkey. However, we report the demographic patterns of a metropolitan North American city. METHODS: We performed a retrospective study of all patients with an initial IIH diagnosis and follow-up at the Detroit Medical Center (DMC), Michigan from 1985 to 2002. Medical records of 174 patients were reviewed, with 77 patients fitting the diagnostic criteria. RESULTS: Seventy-seven patients, 71 females (92.2%) and 6 males (7.8%) were identified. Age ranged from 10 to 50 years, with a mean of 34 years. Fifty patients (65%) were African-American and 24 patients (31%) were Caucasian. The most common presentation was isolated headache (28.6%). Nineteen patients (24.7%) were asymptomatic. Obesity was described in 65 of 74 patients (87.8%) evaluated for body dimensions. CONCLUSIONS: We report an increased number of asymptomatic patients after routine ophthalmic examination. Obese females in metropolitan Detroit would benefit from routine eye evaluations to avoid potential visual loss related to papilledema. |
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Authors:
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Jennifer A Galvin; Gregory P Van Stavern |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Journal of the neurological sciences Volume: 223 ISSN: 0022-510X ISO Abbreviation: J. Neurol. Sci. Publication Date: 2004 Aug |
Date Detail:
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Created Date: 2004-08-31 Completed Date: 2004-11-15 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0375403 Medline TA: J Neurol Sci Country: Netherlands |
Other Details:
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Languages: eng Pagination: 157-60 Citation Subset: IM |
Affiliation:
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Departments of Neurology and Ophthalmology, Kresge Eye Institute, Wayne State University School of Medicine, 4717 St. Antoine Blvd. Detroit, MI 48201, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Child Female Follow-Up Studies Headache / etiology Hospitals, District* Humans Incidence Intracranial Pressure / physiology* Male Obesity / etiology Pseudotumor Cerebri / complications, epidemiology, physiopathology* Retrospective Studies Sex Distribution |
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