Idiopathic intracranial hypertension (IIH): typical clinical features

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

Idiopathic intracranial hypertension (IIH): typical clinical features. Obesity: this is usually in females. Fully referenced neurology checklist.

Risk factors

  • Obesity: this is usually in females
  • Child-bearing years
  • Binge eating disorder (BED)
  • Systemic infections and inflammation

Headache features

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Persistent post-IIH headache

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Neurological features

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Ophthalmic features

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Differential diagnoses of papilloedema

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Red flags against IIH

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Post-IIH headache

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Synonym

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References

  1. Dhungana S, Sharrack B, Woodroofe N. Idiopathic intracranial hypertension. Acta Neurol Scand 2010; 121:71-82.
  2. Bruce BB, Preechawat P, Newman NJ, Lynn MJ, Biousse V. Racial differences in idiopathic intracranial hypertension. Neurology 2008; 70:861-867.
  3. 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.
  4. Wall M, Kupersmith MJ, Kieburtz KD, et al; NORDIC Idiopathic Intracranial Hypertension Study Group. The idiopathic intracranial hypertension treatment trial: clinical profile at baseline. JAMA Neurol 2014; 71:693-701.
  5. Subramaniam S, Fletcher WA. Obesity and weight loss in idiopathic intracranial hypertension: a narrative review. J Neuroophthalmol 2017; 37:197-205.
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