Idiopathic intracranial hypertension (IIH): other surgical treatments

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

Idiopathic intracranial hypertension (IIH): other surgical treatments. This is considered especially if visual symptoms occur without headache.

Optic nerve sheath fenestration (ONSF)

  • This is considered especially if visual symptoms occur without headache
  • It improves visual loss and papilloedema in most cases
  • The effect is bilateral even if it is done unilaterally

Bariatric surgery

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References

  1. Corbett JJ, Nerad JA, Tse DT, Anderson RL. Results of optic nerve sheath fenestration for pseudotumor cerebri. The lateral orbitotomy approach. Arch Ophthalmol 1988; 106:1391-1397.
  2. Alsuhaibani AH, Carter KD, Nerad JA, Lee AG. Effect of optic nerve sheath fenestration on papilledema of the operated and the contralateral nonoperated eyes in idiopathic intracranial hypertension. Ophthalmology 2011; 118:412-414.
  3. Manfield JH, Yu KK, Efthimiou E, Darzi A, Athanasiou T, Ashrafian H. Bariatric surgery or non-surgical weight loss for idiopathic intracranial hypertension? a systematic review and comparison of meta-analyses. Obes Surg 2017; 27:513-521.
  4. Fridley, J, Foroozan, R, Sherman, V, Brandt, ML, and Yoshor, D. Bariatric surgery for the treatment of idiopathic intracranial hypertension. J Neurosurgery 2011; 114:34-39.
  5. Abott S, Chan F, Tahrani AA. Weight management interventions for adults with idiopathic intracranial hypertension: a systematic review and practice recommendations. Neurology 2023; 101:e2138-e2150.
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