Idiopathic intracranial hypertension (IIH): medical treatment

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Idiopathic intracranial hypertension (IIH): medical treatment. Impaired visual acuity, Visual field loss. Fully referenced neurology checklist.

Indications for treatment

  • Impaired visual acuity
  • Visual field loss
  • Moderate to severe papilloedema
  • Persistent headache

Weight and dietary management

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Acetazolamide: benefits and dosing

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Acetazolamide: side effects

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Non-evidenced drug treatments

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Lumbar puncture (LP)

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Urgent treatments

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GLP1 (glucagon-like peptide-1) receptor agonists

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Investigational drug treatments

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References

  1. Friedman DI, Jacobson DM. Idiopathic intracranial hypertension. J Neuro Ophthalmol 2004; 24:138-145.
  2. Markey KA, Mollan SP, Jensen RH, Sinclair AJ. Understanding idiopathic intracranial hypertension: mechanisms, management, and future directions. Lancet Neurol 2016; 15:78-91.
  3. Sinclair, AJ, Burdon, MA, Nightingale, PG et al. Low energy diet and intracranial pressure in women with idiopathic intracranial hypertension: prospective cohort study. BMJ 2010; 341:c2701.
  4. Mollan SP, Davies B, Silver NC, et al. Idiopathic intracranial hypertension: consensus guidelines on management. JNNP 2018; 89:1088-1100.
  5. Hoffmann J, Mollan SP, Paemeleire K, Lampl C, Jensen RH, Sinclair AJ. European headache federation guideline on idiopathic intracranial hypertension. J Headache Pain 2018; 19:93. 
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